Individual
MRS. REBEKAH GRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12050 12TH ST, EAGLEVILLE, MO 64442-8158
(660) 867-5414
Mailing address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 632-2101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005027638
MO
363LF0000X
Family Nurse Practitioner
Primary
2019002287
MO
Other
Enumeration date
01/02/2019
Last updated
06/04/2026
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