Individual provider · Type 1 NPI

Levi Graves

Psychiatric/Mental Health Nurse Practitioner · Pocatello, ID

NPI number 1720863871 Active

Practice location

415 N 3rd Ave Ste B
Pocatello, ID 83201-6306

Mailing address

226 W Carter St
Pocatello, ID 83204-3454

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X77238 (ID)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1720863871

Levi Graves's National Provider Identifier is 1720863871, issued on Aug 28, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pocatello, ID. The record was last updated on Aug 28, 2023.