STACEY LANE GRUKA

LONGMONT, CO
NPI1982879011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  C-APN.0003341-C-CNM)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CO  C-APN.0003341-C-CNM)
363L00000X Nurse Practitioner
(Licence: FL  APRN9246057)
367A00000X Advanced Practice Midwife
(Licence: FL  ARNP9246057)
Enumeration Date2008-04-29
Last Update Date2022-01-27
Business Address
STACEY LANE GRUKA DNP, ARNP, CNM, MSN
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3128
Phone number: 720-494-3130
Mailing Address
STACEY LANE GRUKA DNP, ARNP, CNM, MSN
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3128
Phone number: 720-494-3130