Individual
RAGAN NICOLE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2109 CLUB VISTA PL, LOUISVILLE, KY 40245-5224
(502) 931-8331
(502) 348-3275
Mailing address
PO BOX 43896, LOUISVILLE, KY 40253-0896
(502) 931-8331
(502) 348-3275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006718
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100158290
—
KY
Enumeration date
04/04/2011
Last updated
07/21/2022
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