Individual provider · Type 1 NPI
Deanna Lynn Gray-Miceli, PHD., GNP-BC
Gerontology Nurse Practitioner · Marlton, NJ
NPI number
1710213251
Active
Practice location
870 E Route 70
Marlton, NJ 08053-5566
Fax (856) 703-3000
Mailing address
PO Box 2032
Haddonfield, NJ 08033-0795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NN07764000 (NJ) |
| Gerontology Nurse Practitioner | 363LG0600X | TP000803H (PA) |
Gerontology Nurse Practitioner: Definition to come...
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- Erika V. Colbert, NPGerontology Nurse Practitioner Marlton, NJ NPI 1659853414
About NPI 1710213251
Deanna Lynn Gray-Miceli, PHD., GNP-BC's National Provider Identifier is 1710213251, issued on Oct 18, 2009. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Marlton, NJ. The record was last updated on Feb 24, 2011.