person
Stephanie Alvera Granneman, NURSEPRACTITIONER
Family Nurse Practitioner in Milan, Missouri
NPI 1114008281

Stephanie Alvera Granneman is a Family Nurse Practitioner based in Milan, MO and is specialized in Family. Stephanie Alvera Granneman practices in Milan, MO and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Stephanie Alvera Granneman is 1114008281 and holds a License No. RN086431 (Missouri).

The current practice location address for Stephanie Alvera Granneman is 210 N Market St, Milan, MO and can be reached out via phone at 660-265-4456 and via fax at 660-265-4627.

Location: 210 N Market St, Milan, MO, 63556-1316
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Provider Profile Details
NPI Number
1114008281
Provider Name
Stephanie Alvera Granneman
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
210 N Market St, Milan, MO, 63556-1316
Phone Number
660-265-4456
Fax Number
660-265-4627
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
428230411 05 MO
501720809 05 MO
591720800 05 MO
institution
Provider Business Practice Location Address Details
Address
210 N Market St
City
State
Zip
63556
Phone Number
660-265-4456
Fax Number
660-265-4627
person
Provider Business Mailing Address Details
Address
210 N Market St
City
State
Zip
63556
Phone Number
660-265-4456
Fax Number
660-265-4627
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN086431 (Missouri)
Definition
Definition to come...
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