Individual
CHRISTINE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56279
NM
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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