Individual
NICHOLE MARIE GRALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
705 RILEY HOSPITAL DR, RR 127, INDIANAPOLIS, IN 46202-5109
(317) 274-8906
(317) 274-4022
Mailing address
PO BOX 713577, CHICAGO, IL 60677-0403
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28184753A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71005090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201267240
—
IN
Enumeration date
07/22/2014
Last updated
02/26/2026
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