Individual
CARLA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15813 PAUL VEGA MD DR, SUITE 100, HAMMOND, LA 70403-1426
(985) 230-2663
(985) 230-2665
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-2663
(985) 230-2665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09215
LA
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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