Individual provider · Type 1 NPI
Racquel Ravare Gradney, FNP
Family Nurse Practitioner · Opelousas, LA
NPI number
1699253401
Active
Practice location
1270 Attakapas Dr Ste 501
Opelousas, LA 70570-6530
Mailing address
PO Box 2118
Opelousas, LA 70571-2118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP10078 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699253401
Racquel Ravare Gradney, FNP's National Provider Identifier is 1699253401, issued on Aug 2, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Opelousas, LA. The record was last updated on Aug 2, 2018.