Individual provider · Type 1 NPI

Trevor Graves

Neonatal Nurse Practitioner · Ogden, UT

NPI number 1376311480 Active

Practice location

4401 Harrison Blvd
Ogden, UT 84403-3195

Fax (801) 387-4306

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Neonatal Intensive Care Registered Nurse 163WN0002X11588995-3102 (UT)
Neonatal Nurse Practitioner Primary 363LN0000X904352-4405 (UT)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1376311480

Trevor Graves's National Provider Identifier is 1376311480, issued on Dec 18, 2023. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Ogden, UT. The record was last updated on Mar 15, 2024.