Individual
ROBERT LEE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4151
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031548
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0031548
OH
Other
Enumeration date
07/06/2022
Last updated
01/24/2023
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