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Stacey Ann Graven, ACNP-BC
Acute Care Nurse Practitioner in Springfield, Illinois
NPI 1881840791

Stacey Ann Graven is an Acute Care Nurse Practitioner based in Springfield, IL and is specialized in Acute Care. Stacey Ann Graven practices in Springfield, IL and has the professional credentials of ACNP-BC. The NPI Number for Stacey Ann Graven is 1881840791 and holds a License No. 209007192 (Illinois).

The current practice location address for Stacey Ann Graven is 800 N 1St St, Springfield, IL and can be reached out via phone at 217-528-7541. You can also correspond with Stacey Ann Graven through the mailing address at 1025 S 6TH ST, SPRINGFIELD, IL - 62703-2403 (mailing address contact number: 217-528-7541).

Location: 800 N 1St St, Springfield, IL, 62703-2403
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Provider Profile Details
NPI Number
1881840791
Provider Name
Stacey Ann Graven
Credential
ACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
800 N 1St St, Springfield, IL, 62703-2403
Phone Number
217-528-7541
Fax Number
Provider Enumeration Date
08/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R03746 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
800 N 1St St
City
State
Zip
62702-3719
Phone Number
217-528-7541
Fax Number
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Provider Business Mailing Address Details
Address
800 N 1St St
City
State
Zip
62702-3719
Phone Number
217-528-7541
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
209007192 (Illinois)
Definition
Definition to come...
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