Individual provider · Type 1 NPI
Eric Thomas Degraaf, NP
Family Nurse Practitioner · Mooresville, IN
NPI number
1316614605
Active
Practice location
820 N Samuel Moore Pkwy Ste C
Mooresville, IN 46158-1467
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- Riley Pediatrics Mooresville, 820 Samuel Moore Pkwy, Suite C, Mooresville, IN 46158 · (317) 483-5080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71011387A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316614605
Eric Thomas Degraaf, NP's National Provider Identifier is 1316614605, issued on Aug 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mooresville, IN. The record was last updated on Sep 15, 2021.