Individual
DR. ETHAN DICKSON GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CCRN
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5198
(901) 765-1000
Mailing address
5094 SUMMER MIST CV, ARLINGTON, TN 38002-4366
(731) 414-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37177
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
04/02/2026
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