NICOLE L GRAVEZ

PROHEALTH PHYSICIANS PC

Dr NICOLE L GRAVEZ is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

PROHEALTH PHYSICIANS PC

4 FARM SPRINGS RD
FARMINGTON
CT
060322573

Tel: 8602845200

NICOLE L GRAVEZ Information

Npi 1437554706
Pac Id 5496078842
Professional Enrollment Id I20141216001803
Last Name GRAVEZ
First Name NICOLE
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROHEALTH PHYSICIANS PC
Group Practice Pac Id 1355246950
Number Of Group Practice Members 344
Line 1 Street Address 4 FARM SPRINGS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FARMINGTON
State CT
Zip Code 060322573
Phone Number 8602845200
Hospital Affiliation Ccn 1 070020
Hospital Affiliation Lbn 1 MIDDLESEX HOSPITAL
Hospital Affiliation Ccn 2 070024
Hospital Affiliation Lbn 2 WILLIAM W BACKUS HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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