Individual
MS. ANGELA LINDA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4077 JEFFERSON AVE, TEXARKANA, AR 71854-1509
(870) 330-9200
(870) 330-9439
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
562258
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
A02971 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A002971
NP LICENSE
AR
Enumeration date
12/19/2006
Last updated
08/28/2023
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