person
Leah Gravesen
Family Nurse Practitioner in Streator, Illinois
NPI 1477191336

Leah Gravesen is a Family Nurse Practitioner based in Dwight, IL and is specialized in Family. Leah Gravesen practices in Streator, IL. The NPI Number for Leah Gravesen is 1477191336 and holds a License No. 209020593 (Illinois).

The current practice location address for Leah Gravesen is 311 S Otter Creek Rd, Streator, IL and can be reached out via phone at 815-257-5324. You can also correspond with Leah Gravesen through the mailing address at 106 KAREN DR, DWIGHT, IL - 60420-1600 (mailing address contact number: 815-257-5324).

Location: 311 S Otter Creek Rd, Streator, IL, 60420-1600
person
Provider Profile Details
NPI Number
1477191336
Provider Name
Leah Gravesen
Credential
Provider Entity Type
Individual
Gender
Female
Address
311 S Otter Creek Rd, Streator, IL, 60420-1600
Phone Number
815-257-5324
Fax Number
Provider Enumeration Date
12/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311 S Otter Creek Rd
City
State
Zip
61364-3117
Phone Number
815-257-5324
Fax Number
person
Provider Business Mailing Address Details
Address
311 S Otter Creek Rd
City
State
Zip
61364-3117
Phone Number
815-257-5324
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209020593 (Illinois)
Definition
Definition to come...
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