LISA MAE DIANE GRAVELINE

PRESCOTT VALLEY, AZ
NPI1801559984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  RNP265685)
Enumeration Date2021-10-15
Last Update Date2024-03-13
Business Address
LISA MAE DIANE GRAVELINE PMHNP-BC, APRN-RNP
3274 BOB DR
PRESCOTT VALLEY, AZ 86314-8640
Phone number: 928-203-5414
Mailing Address
LISA MAE DIANE GRAVELINE PMHNP-BC, APRN-RNP
3274 BOB DR
PRESCOTT VALLEY, AZ 86314-8640
Phone number: 928-203-5414
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