Individual
CARA A GRAVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
102 W KENWOOD AVE LOWR LEVEL, DECATUR, IL 62526-4368
(217) 545-8000
(217) 545-4485
Mailing address
102 W KENWOOD AVE LOWR LEVEL, DECATUR, IL 62526-4368
(217) 545-8000
(217) 545-4485
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-005882
IL
Other
Enumeration date
10/05/2006
Last updated
10/26/2020
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