Individual provider · Type 1 NPI

Stephanie Grencavage, CRNP

Nurse Practitioner · Kingston, PA

NPI number 1104279850 Active

Practice location

390 Pierce St
Kingston, PA 18704-5532

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP011229 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104279850

Stephanie Grencavage, CRNP's National Provider Identifier is 1104279850, issued on Jul 18, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kingston, PA. The record was last updated on Jul 18, 2016.