Stacey Lane Gruka in Longmont - Nurse Practitioner
Stacey Lane Gruka - NPI 1982879011
Stacey Lane Gruka is a Nurse Practitioner in Longmont, Colorado. Stacey Lane Gruka practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stacey Lane Gruka is 1982879011. The last update date is 2022-01-27.
Stacey Lane Gruka's current location address is 1925 Mountain View Ave, Longmont, Colorado. You can contact this provider via phone number 7204943130 and fax number 7204943176. The mailing address for Stacey Lane Gruka is 1925 Mountain View Ave, Longmont, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Lane Gruka |
|---|---|
| Address | 1925 Mountain View Ave, Longmont, Colorado |
| Phone Number | 7204943130 |
| Fax Number | 7204943176 |
| Sole Proprietor | N |
| Credentials | DNP, ARNP, |
NPI Number Detail
| NPI Number | 1982879011 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2022-01-27 |
Provider Mailing Address Detail
| Address | 1925 Mountain View Ave |
|---|---|
| City | Longmont |
| State | Colorado (CO) |
| Post Code | 805013128 |
| Phone Number | 7204943130 |
| Fax Number | 7204943176 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | C-APN.000334 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9000200515 | CO | -- | |
| 102200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stacey Lane Gruka by the Centers for Medicare & Medicaid Services?
The Stacey Lane Gruka has been issued the NPI (National Provider Identifier) 1982879011 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacey Lane Gruka's facilities are situated?
The facilities of Stacey Lane Gruka are physically located at the following address: 1925 Mountain View Ave, Longmont, CO, 805013128.
What is the Stacey Lane Gruka's specialty and taxonomy code?
The Stacey Lane Gruka's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Stacey Lane Gruka receive its 1982879011 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Lane Gruka was assigned its 1982879011 by the Centers for Medicare & Medicaid Services on 2008-04-29.
As of what date were the Stacey Lane Gruka's details last updated?
The information pertaining to the Stacey Lane Gruka, including its address, specialty, and other details, was most recently updated on 2022-01-27.
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