Individual provider · Type 1 NPI

Andrea Margaret Gravley, CPNP

Pediatric Nurse Practitioner · Minnetonka, MN

NPI number 1104074434 Active

Practice location

17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102

Fax (952) 401-8373

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR1574690 (MN)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1104074434

Andrea Margaret Gravley, CPNP's National Provider Identifier is 1104074434, issued on Aug 28, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minnetonka, MN. The record was last updated on Jun 16, 2024.