Individual
MRS. LAURA VITA KOHTIO-GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, GNP-BC
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 228-4846
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 228-4846
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
258804
MA
363LG0600X
Gerontology Nurse Practitioner
258804
MA
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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