Graven, Stacey Ann
Graven, Stacey Ann is an individual health care provider with primary practice located at 800 N 1St St , Springfield IL 62702-3719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Graven, Stacey Ann can be contacted via phone (217) 528-7541.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209007192 | Illinois |
Profile Details
| NPI number | 1881840791 |
|---|---|
| LBN Legal business name | Graven, Stacey Ann |
| Credentials | ACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2008 |
| Last updated | May 22nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881840791 | NPPES |
| Illinois | Other | R03746 | MEDICARE PTAN |
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