Michele L Degraw, NP
Nurse Practitioner, Adult Health in Stony Brook, NY. Individual provider (NPI-1).
NPI number1477975845
StatusActive
Last updated in NPPESOct 27, 2017
Details
- NPI
- 1477975845
- Entity type
- Individual (NPI-1)
- Name
- Michele L Degraw
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2014
- Last updated
- Oct 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F306689-1 | NY | Yes |
Practice location
Hsc T15-040Stony Brook, NY 11794-4413
Phone 631-638-0910 · Fax 631-638-0915
Mailing address
Po Box 1554Stony Brook, NY 11790-0988
Phone 631-444-0650 · Fax 631-638-4170
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All 133 Adult Health Nurse Practitioner providers in Stony Brook · All 3,268 providers in Stony Brook
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