Individual
CASEY MICHELLE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
405 MAIN ST, HILLSBORO, MO 63050-4351
(636) 797-3737
(636) 797-4631
Mailing address
405 MAIN ST, HILLSBORO, MO 63050-4351
(636) 797-3737
(636) 797-4631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209021691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020014438
ANCC CERTIFICATION
—
Enumeration date
07/29/2020
Last updated
07/29/2020
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