Individual
HUNTER GRAVEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-4527
(205) 731-9701
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-136707
AL
363LF0000X
Family Nurse Practitioner
Primary
1-136707
AL
Other
Enumeration date
09/30/2020
Last updated
06/29/2023
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