MEDICARE: STEPHANIE SCHULTZ GRAMBAU CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP033580	PA

General Provider Information

NPI Number	:	1871457101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE SCHULTZ GRAMBAU CRNP

Provider Business Mailing Address
First Line	:	925 BENT CREEK DR
Second Line	:
City	:	LITITZ
State	:	PA
Zip	:	17543-6637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 CORNWALL RD
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7480
Country	:	US
Telephone Number	:	717-675-1750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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