Individual provider · Type 1 NPI

Stacy Gravesandy

Licensed Practical Nurse · White Plains, NY

NPI number 1225958283 Active

Practice location

21 Miller Ter
White Plains, NY 10607-1507

Call (914) 462-6264 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X28964301 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1225958283

Stacy Gravesandy's National Provider Identifier is 1225958283, issued on Jul 20, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in White Plains, NY. The record was last updated on Jul 20, 2026.