Provider Demographics
NPI:1881815553
Name:MCGRAVEY, STEPHANIE NICHOLE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:NICHOLE
Last Name:MCGRAVEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4815 LIBERTY AVENUE,
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-683-1717
Mailing Address - Fax:412-683-1773
Practice Address - Street 1:4815 LIBERTY AVENUE,
Practice Address - Street 2:SUITE 250
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-683-1717
Practice Address - Fax:412-683-1773
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2009-07-02
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Provider Licenses
StateLicense IDTaxonomies
PAMA-052744363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant