Doctor Name: | MICHELE DAWN GRACZYK |
NPI Number: | 1992089031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP-BC |
License Number: | 663802 |
Business Practice Address: | 1205 Central Texas Expy Lampasas, TX - 765503388 |
Business Phone Number: | 5125565362 |
Business Fax Number: | |
Mailing Address: | 1205 Central Texas Expy, LAMPASAS |
State: | TX |
Postal Code: | 765503388 |
Phone Number: | 5125565362 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2011 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 663802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |