Individual
CAROL JANE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 E 6TH ST, ATLANTIC, IA 50022-1566
(712) 792-4368
Mailing address
5505 UNIVERSITY AVE, DES MOINES, IA 50311-2237
(540) 500-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A068580
IA
363LF0000X
Family Nurse Practitioner
A068580
IA
Other
Enumeration date
03/14/2017
Last updated
09/30/2024
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