Individual
MRS. PENNY GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.022609
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.022609
OH
Other
Enumeration date
05/04/2018
Last updated
10/11/2024
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