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DEGRAZIA WELLNESS, LLC
NPI 1780048124
Nurse Practitioner - Women's Health in Medford, OR

Active since April 12, 2016
3210 HILLCREST PARK DR, SUITE 100, MEDFORD, OR 97504(541) 494-8888(541) 494-1300 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Degrazia Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEGRAZIA WELLNESS, LLC (NPI 1780048124) is a healthcare organization registered as a women's health in Medford, Oregon and active in the NPI registry since April 2016. The organization lists Karissa Stults, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1780048124
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameDEGRAZIA WELLNESS, LLC
Location Address3210 HILLCREST PARK DR, SUITE 100Medford, OR 97504-7693
Mailing Address3210 Hillcrest Park Dr, Suite 100Medford, OR 97504-7693 · (541) 494-8888 · Fax (541) 494-1300
Phone(541) 494-8888
Fax(541) 494-1300
Organization SubpartNo
Authorized OfficialKarissa StultsBusiness Manager · (541) 890-5217
Enumeration DateApril 12, 2016
Last NPPES UpdateMay 18, 2016
✔ NPI 1780048124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OR · 201500652NP-PP
3210 HILLCREST PARK DR, Medford, OR 97504
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Degrazia Wellness, LLC's NPI number?

The NPI number for Degrazia Wellness, LLC is 1780048124. It was assigned to this organization in the NPPES registry on April 12, 2016.

Where is Degrazia Wellness, LLC located?

Degrazia Wellness, LLC is located at 3210 Hillcrest Park Dr Suite 100, Medford, OR 97504. The listed phone number is (541) 494-8888.

What is Degrazia Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Degrazia Wellness, LLC was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.