Miss Tricia S Gravesande, NP
Nurse Practitioner, Gerontology in Orange, New Jersey
1730719782- Practice location
- 133 Elm St, Orange, NJ 07050-4001
- Phone
- 862-224-0940
- Fax
- —
- Last updated
- January 17, 2020
Tricia S Gravesande is a Nurse Practitioner, Gerontology based in Orange, NJ. Tricia S Gravesande practices in Orange, NJ and has the professional credentials of NP. The NPI Number for Tricia S Gravesande is 1730719782 and holds a License No. 26NJ00959600 (NJ). The current practice location address for Tricia S Gravesande is 133 Elm St, Orange, NJ 07050-4001 and can be reached out via phone at 862-224-0940.
Provider Profile Details
- NPI Number
- 1730719782
- Provider Name
- Tricia S Gravesande
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 133 Elm St, Orange, NJ 07050-4001
- Phone Number
- 862-224-0940
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 17, 2020
- Last Update Date
- January 17, 2020
- Certification Date
- January 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Elm St
Orange, NJ 07050-4001 - City
- Orange
- State
- New Jersey
- Zip
- 07050-4001
- Phone Number
- 862-224-0940
Provider Business Mailing Address Details
- Address
- 133 Elm St
Orange, NJ 07050-4001 - City
- Orange
- State
- NJ
- Zip
- 07050-4001
- Phone Number
- 186-224-0940
License Information
- License Number
- 26NJ00959600
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
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 Miss Tricia S Gravesande, NP?
The NPI number of Miss Tricia S Gravesande, NP is 1730719782. It was assigned on January 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Miss Tricia S Gravesande, NP?
Miss Tricia S Gravesande, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ00959600.
Where does Miss Tricia S Gravesande, NP practice?
The practice location is 133 Elm St, Orange, NJ 07050-4001. The office can be reached at 862-224-0940 (phone).
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 1730719782 directly on the NPPES registry website.