STEPHANIE GRACIE A.R.N.P. NPI 1295108322

NPI Information

  • NPI: 1295108322
  • Provider Name: STEPHANIE GRACIE, A.R.N.P.
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 4683 VAN DYKE RD
    LUTZ, FL
    ZIP 33558
  • Phone: (727) 686-9609

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NPI Details

Stephanie Gracie, A.R.N.P. is a pediatrics nurse practitioner in Lutz, FL. Stephanie Gracie, A.R.N.P. NPI is 1295108322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4683 VAN DYKE RD
LUTZ, FL
ZIP 33558-880
Phone: (727) 686-9609

The enumeration date for this NPI number is 11/11/2015 and was last updated on 9/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerARNP9292259FLORIDANo
2363LP0200XNurse PractitionerPediatricsARNP9292259FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1016194600MEDICAIDFLORIDA
28WLBJOTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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