Individual provider · Type 1 NPI
Tricia S. Gravesande, NP
Gerontology Nurse Practitioner · Orange, NJ
NPI number
1730719782
Active
Practice location
133 Elm St
Orange, NJ 07050-4001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ00959600 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Orange
About NPI 1730719782
Tricia S. Gravesande, NP's National Provider Identifier is 1730719782, issued on Jan 17, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orange, NJ. The record was last updated on Jan 17, 2020.