person
Levi Graves
Psychiatric/Mental Health Nurse Practitioner in Pocatello, Idaho
NPI 1720863871

Levi Graves is a Psychiatric/Mental Health Nurse Practitioner based in Pocatello, ID and is specialized in Psychiatric/Mental Health. Levi Graves practices in Pocatello, ID. The NPI Number for Levi Graves is 1720863871 and holds a License No. 77238 (Idaho).

The current practice location address for Levi Graves is 415 N 3Rd Ave Ste B, Pocatello, ID and can be reached out via phone at 208-646-4165.

Location: 415 N 3Rd Ave Ste B, Pocatello, ID, 83204-3454
person
Provider Profile Details
NPI Number
1720863871
Provider Name
Levi Graves
Credential
Provider Entity Type
Individual
Gender
Male
Address
415 N 3Rd Ave Ste B, Pocatello, ID, 83204-3454
Phone Number
208-646-4165
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 N 3Rd Ave Ste B
City
State
Zip
83201-6306
Phone Number
208-646-4165
Fax Number
person
Provider Business Mailing Address Details
Address
415 N 3Rd Ave Ste B
City
State
Zip
83201-6306
Phone Number
208-646-4165
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
77238 (Idaho)
Definition
Definition to come...
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