Individual
MS. STACEY K GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
27 MARROWS RD, NEWARK, DE 19713-3701
(302) 455-0900
(302) 455-0902
Mailing address
PO BOX 151, NEW CASTLE, DE 19720-0151
(302) 652-2455
(302) 322-6251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0000360
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000041379
—
DE
Enumeration date
07/15/2005
Last updated
05/02/2024
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