Individual
ELIZABETH JOHNSON-GRAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(866) 438-6508
(614) 227-9445
Mailing address
1801 WATERMARK DR, STE 200, COLUMBUS, OH 43215-7088
(888) 202-2965
(614) 487-8769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.059583-M-IV
OH
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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