Individual
HOLLY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1310 W 22ND ST, SIOUX FALLS, SD 57105-1501
(605) 328-8200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001426
SD
363LF0000X
Family Nurse Practitioner
CP001426
SD
Other
Enumeration date
09/02/2018
Last updated
07/22/2021
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