STEPHANIE A GRANNEMAN, NURSE PRACTITIONER, Family MILAN, MO

Contact Information

STEPHANIE A GRANNEMAN, NURSE PRACTITIONER

210 N MARKET ST
MILAN, MO 63556

Phone: 660-265-4456
Fax: 660-265-4627
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for STEPHANIE A GRANNEMAN · (Female)

NPI #	`1114008281`
Status	Active
Credentials	NURSE PRACTITIONER
Entity	Individual
Enumeration date	10/17/2006
Last updated	03/12/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	MO License # RN086431 MO Medicaid 428230411 MO Medicaid 501720809 MO Medicaid 591720800
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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