Dr. Deanna L Gray-Miceli, PHD, GNP-BC
Nurse Practitioner, Gerontology in Marlton, New Jersey
1710213251- Practice location
- 870 E Route 70, Marlton, NJ 08053-5566
- Phone
- 609-790-2327
- Fax
- 856-703-3000
- Last updated
- February 24, 2011
Deanna Lynn Gray-Miceli is a Nurse Practitioner, Gerontology based in Marlton, NJ. Deanna Lynn Gray-Miceli practices in Marlton, NJ and has the professional credentials of PHD, GNP-BC. The NPI Number for Deanna Lynn Gray-Miceli is 1710213251 and holds a License No. 26NN07764000 (NJ). The current practice location address for Deanna Lynn Gray-Miceli is 870 E Route 70, Marlton, NJ 08053-5566 and can be reached out via phone at 609-790-2327 and via fax at 856-703-3000.
Provider Profile Details
- NPI Number
- 1710213251
- Provider Name
- Deanna Lynn Gray-Miceli
- Credential
- PHD, GNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 870 E Route 70, Marlton, NJ 08053-5566
- Phone Number
- 609-790-2327
- Fax Number
- 856-703-3000
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 18, 2009
- Last Update Date
- February 24, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 870 E Route 70
Marlton, NJ 08053-5566 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-5566
- Phone Number
- 609-790-2327
- Fax Number
- 856-703-3000
Provider Business Mailing Address Details
- Address
- Po Box 2032
Haddonfield, NJ 08033-0795 - City
- Haddonfield
- State
- NJ
- Zip
- 08033-0795
- Phone Number
- 609-790-2327
License Information
- License Number (1)
- 26NN07764000
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
- License Number (2)
- TP000803H
- License State (2)
- PA
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Deanna L Gray-Miceli, PHD, GNP-BC?
The NPI number of Dr. Deanna L Gray-Miceli, PHD, GNP-BC is 1710213251. It was assigned on October 18, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Deanna L Gray-Miceli, PHD, GNP-BC?
Dr. Deanna L Gray-Miceli, PHD, GNP-BC is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NN07764000.
Where does Dr. Deanna L Gray-Miceli, PHD, GNP-BC practice?
The practice location is 870 E Route 70, Marlton, NJ 08053-5566. The office can be reached at 609-790-2327 (phone) or 856-703-3000 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710213251 directly on the NPPES registry website.