Individual provider · Type 1 NPI
Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP
Psychiatric/Mental Health Nurse Practitioner · Prescott Valley, AZ
NPI number
1801559984
Active
Practice location
3274 Bob Dr
Prescott Valley, AZ 86314-8640
Fax (866) 984-3891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RNP265685 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1801559984
Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP's National Provider Identifier is 1801559984, issued on Oct 15, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Prescott Valley, AZ. The record was last updated on Mar 13, 2024.