Provider Demographics
NPI:1427620152
Name:GRAMS, STEPHANIE
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:GRAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 3RD ST NW
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44680-1009
Mailing Address - Country:US
Mailing Address - Phone:937-508-5530
Mailing Address - Fax:
Practice Address - Street 1:132 3RD ST NW
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:OH
Practice Address - Zip Code:44680-1009
Practice Address - Country:US
Practice Address - Phone:938-508-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion