MISS Tricia S Gravesande, NP
NPI #1730719782 in Orange, New Jersey
Provider Information
- NPI Number
- 1730719782
- Entity Type
- Individual
- Name
- MISS Tricia S Gravesande, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- NP
- Enumeration Date
- Jan 17, 2020
- Last Updated
- Jan 17, 2020
Practice Location
- Address
- 133 ELM ST
- City
- Orange
- State
- New Jersey
- ZIP Code
- 07050-4001
- Phone
- (862) 224-0940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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