Individual
AMELIA L. GRAVISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213-1988
(502) 451-5121
(502) 451-5125
Mailing address
4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213-1988
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1143420
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4007356
KY
Other
Enumeration date
06/22/2023
Last updated
07/25/2024
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