person
Lisa Mae Diane Graveline, PMHNP-BC,APRN-RNP
Psychiatric/Mental Health Nurse Practitioner in Prescott Valley, Arizona
NPI 1801559984

Lisa Mae Diane Graveline is a Psychiatric/Mental Health Nurse Practitioner based in Prescott Valley, AZ and is specialized in Psychiatric/Mental Health. Lisa Mae Diane Graveline practices in Prescott Valley, AZ and has the professional credentials of PMHNP-BC,APRN-RNP. The NPI Number for Lisa Mae Diane Graveline is 1801559984 and holds a License No. RNP265685 (Arizona).

The current practice location address for Lisa Mae Diane Graveline is 3274 Bob Dr, Prescott Valley, AZ and can be reached out via phone at 928-203-5414 and via fax at 866-984-3891. You can also correspond with Lisa Mae Diane Graveline through the mailing address at 3274 BOB DR, PRESCOTT VALLEY, AZ - 86314-8640 (mailing address contact number: 928-203-5414).

Location: 3274 Bob Dr, Prescott Valley, AZ, 86314-8640
person
Provider Profile Details
NPI Number
1801559984
Provider Name
Lisa Mae Diane Graveline
Credential
PMHNP-BC,APRN-RNP
Provider Entity Type
Individual
Gender
Female
Address
3274 Bob Dr, Prescott Valley, AZ, 86314-8640
Phone Number
928-203-5414
Fax Number
866-984-3891
Provider Enumeration Date
10/15/2021
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RNP-265685 01 AZ STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3274 Bob Dr
City
State
Zip
86314-8640
Phone Number
928-203-5414
Fax Number
866-984-3891
person
Provider Business Mailing Address Details
Address
3274 Bob Dr
City
State
Zip
86314-8640
Phone Number
928-203-5414
Fax Number
866-984-3891
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RNP265685 (Arizona)
Definition
Definition to come...
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