Individual
DAWN L GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
197 N MCCLEARY RD, EXCELSIOR SPRINGS, MO 64024-8490
(816) 922-2970
(816) 637-2480
Mailing address
10134 REYNOLDS RD, ORRICK, MO 64077-8049
(816) 288-5164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111885
MO
363L00000X
Nurse Practitioner
1497663091
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00631991
RAILROAD MEDICARE PIN
MO
Enumeration date
09/13/2007
Last updated
03/19/2015
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