DR. EMILY SPUHLER GRANGE DNP AG-ACNP NPI 1326665365

NPI Information

NPI: 1326665365
Provider Name: DR. EMILY SPUHLER GRANGE, DNP, AG-ACNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
121 WHITEHALL DR
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 825-4500
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DR. Emily Spuhler Grange, DNP, AG-ACNP is an adult health nurse practitioner in St Augustine, FL. DR. Emily Spuhler Grange, DNP, AG-ACNP NPI is 1326665365. 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:

121 WHITEHALL DR
ST AUGUSTINE, FL
ZIP 32086-266
Phone: (904) 825-4500
Fax: (904) 825-3672

The NPI 1326665365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 8/16/2023.

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
1	363LA2200X	Nurse Practitioner	Adult Health	APRN11019841	FLORIDA	Yes

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
1	Q5038	OTHER	FLORIDA	MEDICARE
2	TIGCQ	OTHER	FLORIDA	FL BLUE
3	118824000	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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