Individual provider · Type 1 NPI
Michele L. Degraw, NP
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1477975845
Active
Practice location
Hsc T15-040
Stony Brook, NY 11794-4413
Fax (631) 638-0915
Mailing address
PO Box 1554
Stony Brook, NY 11790-0988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F306689-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1477975845
Michele L. Degraw, NP's National Provider Identifier is 1477975845, issued on Jan 20, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 27, 2017.