Individual
CORRIE GRAVEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7070 TAYLORS FERRY RD, BESSEMER, AL 35023-5565
(256) 490-1589
Mailing address
7070 TAYLORS FERRY RD, BESSEMER, AL 35023-5565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG09170086
AL
363LG0600X
Gerontology Nurse Practitioner
1-136869
AL
363LG0600X
Gerontology Nurse Practitioner
AG09170086
AL
Other
Enumeration date
02/09/2019
Last updated
01/31/2024
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