STEPHANIE ALVERA GRANNEMAN (NPI# 1114008281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114008281 |
| Entity Type | Individual |
| Full Name | STEPHANIE ALVERA GRANNEMAN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
210 N Market St Milan MO 63556 |
| Mailing Address |
210 N Market St Milan MO 63556-1316 |
| Practice Telephone | 6602654456 |
| Practice Fax Number | 6602654627 |
| Mailing Telephone | 6602654456 |
| Mailing Fax Number | 6602654627 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN086431 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428230411 | 05 | |
| MO | 501720809 | 05 | |
| MO | 591720800 | 05 |
| Street Address |
210 N MARKET ST |
| City | MILAN |
| State | MO |
| Zip Code | 63556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619065828 | Sullivan County Memorial Hospital | Clinic/Center | 210 N Market St, Milan, MO 63556-1316 | 2006-10-11 |
| 1922293109 | Sherri Lynn Hedges | Nurse Practitioner | 210 N Market St, Milan, MO 63556-1316 | 2007-09-11 |
| 1770666984 | Dale Essmyer | Family Medicine | 210 N Market St, Milan, MO 63556-1316 | 2006-10-23 |
| 1740378785 | Kenneth Richards | Family Medicine | 210 N Market St, Milan, MO 63556-1316 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366786246 | Rolling Hills Residential Care Facility, LLC | Assisted Living Facility | 24583 Hwy 5, Milan, MO 63556 | 2012-11-16 |
| 1326160821 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 708 North Pearl, Milan, MO 63556 | 2007-04-04 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1801968979 | Daniel Hoelzel Crtt Inc | Durable Medical Equipment & Medical Supplies | 19269 Daisy Dr, Milan, MO 63556-0065 | 2006-11-14 |
| 1194856203 | Sullivan County Health Department | Case Management | 101 Hawthorne Dr, Milan, MO 63556-1017 | 2007-03-08 |
| 1659479061 | Thomas Edwin Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2006-09-20 |
| 1487005435 | Michelle Lynn Greathouse | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2016-06-30 |
| 1528324779 | Ryan Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2012-04-02 |
| 1780843623 | Martha Kay Curtis | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2008-06-05 |
| 1023159514 | Vivian Marlene Hall | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2007-02-09 |
| Find all providers in zip 63556 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829185 | Lesley Howell | Nurse Practitioner | 18 Hughes Loop, Milan, TN 38358-5503 | 2019-09-07 |
| 1740658582 | Ashley Megan Schwartz | Nurse Practitioner | 870 E Arkona Rd # 100, Milan, MI 48160-9770 | 2015-09-10 |
| 1932492188 | Amy Jean Works | Nurse Practitioner | 124 W Indian Trl Ste B, Milan, IN 47031 | 2011-05-20 |
| 1235438664 | Susan Michelle Twilla | Nurse Practitioner | 4039 South Highland Ave, Milan, TN 38358-6825 | 2011-03-24 |
| 1548576531 | Katie M Davis | Nurse Practitioner | 930 N Main St, Milan, IN 47031-8827 | 2010-08-27 |
| 1912163668 | June Kershner | Nurse Practitioner | 2000 Cibola Loop, Milan, NM 87021 | 2008-08-01 |
| 1902957129 | Jane Elizabeth Imo | Nurse Practitioner | 870 E Arkona Rd Ste 100, Milan, MI 48160-9770 | 2007-01-15 |
| 1558350520 | Kristi Gaye Hazlewood | Nurse Practitioner | 1100 Middle Rd, Milan, TN 38358-5544 | 2005-10-20 |
| 1679105787 | Dee Ann Scott | Nurse Practitioner | 9159 Telecom Dr, Milan, TN 38358-3425 | 2020-02-06 |
| 1992223473 | Brittany Rhea Rauchle | Nurse Practitioner | 1086 W Van Hook St, Milan, TN 38358-3026 | 2017-09-05 |
| Find all providers in MILAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.