Individual
MS. COURTNEY BROOKE GRAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
8655 MARKET STREET, MENTOR, OH 44060
(440) 255-6400
(440) 255-3637
Mailing address
5141 SHEPHERDS GLN, WILLOUGHBY, OH 44094-3388
(440) 487-8508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.16149-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106908
—
OH
Enumeration date
08/04/2010
Last updated
06/15/2022
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