Individual
MRS. VICKIE CATHERINE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
400 EAST THIRD STREET, DULUTH, MN 55805
(218) 786-3392
Mailing address
400 EAST THIRD STREET, DULUTH, MN 55805
(218) 786-3392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 144929-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588756860
—
MN
05
—
1588756860
—
WI
Enumeration date
09/28/2006
Last updated
05/20/2016
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