Individual
STEPHANIE L GRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4000
Mailing address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013030759
MO
Other
Enumeration date
08/27/2013
Last updated
03/13/2023
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