Lisa D Graves is a Nurse Practitioner in Albany, Georgia. Lisa D Graves practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lisa D Graves is 1063511574. The last update date is 2010-01-05.
Lisa D Graves's current location address is 2405 Osler Ct, Albany, Georgia. You can contact this provider via phone number 2294351458 and fax number 2293172342. The mailing address for Lisa D Graves is 2405 Osler Ct, Albany, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa D Graves |
|---|---|
| Address | 2405 Osler Ct, Albany, Georgia |
| Phone Number | 2294351458 |
| Fax Number | 2293172342 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1063511574 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2010-01-05 |
Provider Mailing Address Detail
| Address | 2405 Osler Ct |
|---|---|
| City | Albany |
| State | Georgia (GA) |
| Post Code | 317070214 |
| Phone Number | 2294351458 |
| Fax Number | 2293172342 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN137513 NP |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000782779F | GA | -- |
Post Comment/ Review Below
What is the Lisa D Graves's unique identification number?
The Lisa D Graves has been assigned the NPI (National Provider Identifier) Number 1063511574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Lisa D Graves?
The Lisa D Graves is physically situated at 2405 Osler Ct, in the city of Albany, state of GA, with the postal code 317070214.
What is the Lisa D Graves's specialty and taxonomy code?
The Lisa D Graves's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did Lisa D Graves receive its 1063511574 assignment from the Centers for Medicare & Medicaid Services?
The Lisa D Graves was assigned its 1063511574 on 2006-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Lisa D Graves's information last updated?
The Lisa D Graves's information was last updated on 2010-01-05.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA