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Individual

COLLEEN LYNN GRAEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1651 E POLSTON AVE, POST FALLS, ID 83854
(208) 457-4208
(208) 457-4197
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2498
(208) 262-7461

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59685
ID
363L00000X
Nurse Practitioner
AP60811874
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407945041
ID
Enumeration date
10/12/2006
Last updated
12/30/2025
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