Individual
NICOLE R GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2222 W LEXINGTON AVE STE B, ELKHART, IN 46514-1420
(574) 296-3348
Mailing address
100 E WAYNE ST STE 510, SOUTH BEND, IN 46601-2394
(574) 334-5390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007993A
IN
Other
Enumeration date
05/24/2018
Last updated
06/26/2019
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