Elizabeth J Gravalin in Fargo - Licensed Practical Nurse
Elizabeth J Gravalin - NPI 1417080474
Elizabeth J Gravalin is a Licensed Practical Nurse in Fargo, North Dakota. Elizabeth J Gravalin practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Elizabeth J Gravalin is 1417080474. The last update date is 2007-07-08.
Elizabeth J Gravalin's current location address is 2624 9th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012984500 and fax number 7012984410. The mailing address for Elizabeth J Gravalin is 2624 9th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth J Gravalin |
|---|---|
| Address | 2624 9th Ave S, Fargo, North Dakota |
| Phone Number | 7012984500 |
| Fax Number | 7012984410 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417080474 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2624 9th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581032350 |
| Phone Number | 7012984500 |
| Fax Number | 7012984410 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | L6261 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elizabeth J Gravalin by the Centers for Medicare & Medicaid Services?
The Elizabeth J Gravalin has been issued the NPI (National Provider Identifier) 1417080474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Elizabeth J Gravalin's facilities are situated?
The facilities of Elizabeth J Gravalin are physically located at the following address: 2624 9Th Ave S, Fargo, ND, 581032350.
What is Elizabeth J Gravalin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elizabeth J Gravalin's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Elizabeth J Gravalin receive its 1417080474 assignment from the Centers for Medicare & Medicaid Services?
The Elizabeth J Gravalin was assigned its 1417080474 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information pertaining to Elizabeth J Gravalin most recently updated or revised?
The details related to Elizabeth J Gravalin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY