Individual
LAVERNE GRAVES-WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
268 NORTH NEW RD., PLEASANTVILLE, NJ 08232
(609) 646-4064
(609) 272-8526
Mailing address
604 W. ADAMS AVE., PLEASANTVILLE, NJ 08232-1503
(609) 674-1651
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
26NO11508100
NJ
207Q00000X
Family Medicine Physician
26NJ00771900
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00771900
NJ
Other
Enumeration date
10/20/2010
Last updated
05/28/2020
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