Individual
OLIVIA GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(763) 900-5115
(763) 402-7782
Mailing address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(763) 900-5115
(763) 402-7782
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10146
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11022062
FL
Other
Enumeration date
11/11/2022
Last updated
02/26/2026
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