| Stacey Lane Gruka, DNP, ARNP, CNM, MSN | |
|
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
| (720) 494-3130 | |
| (720) 494-3176 |
| Full Name | Stacey Lane Gruka |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1925 Mountain View Ave, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982879011 | NPI | - | NPPES |
| 000102200 | Medicaid | FL | |
| 9000200515 | Medicaid | CO |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Lane Gruka, DNP, ARNP, CNM, MSN 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3130 | Stacey Lane Gruka, DNP, ARNP, CNM, MSN 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3130 |
Kelly Jean Devine Arch, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1950 Mountain View Ave, Longmont, CO 80501 Phone: 303-315-0400 | |
Ms. Mary Beth Spinos, PNNP, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2030 Mountain View Ave Ste 400, Longmont, CO 80501 Phone: 720-652-8730 Fax: 720-652-8729 | |
Miss Sylvia W Fibich, MSN/CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Bry B Kring, CNM, FNP-C Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 12076 N 75th St, Longmont, CO 80503 Phone: 303-819-0454 | |
Sharon Shin, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-494-3128 Fax: 720-985-7349 | |
Amanda Lorraine Johns, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2727 Nelson Rd Apt T208, Longmont, CO 80503 Phone: 706-614-1553 |