Graves, Denise Marie
Graves, Denise Marie is an individual health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Graves, Denise Marie can be contacted via phone (610) 954-5810.Contact Information
Primary practice address
801 Ostrum St
Bethlehem PA 18015-1000
Phone: (610) 954-5810
Fax: (610) 954-5480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN354580L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN354580L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 072988 | Pennsylvania |
Profile Details
| NPI number | 1093700767 |
|---|---|
| LBN Legal business name | Graves, Denise Marie |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jan 31st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093700767 | NPPES |
| Pennsylvania | Other | 1584019 | GATEWAY |
| Pennsylvania | Other | 2001184 | GATEWAY |
| Pennsylvania | Other | 2350206000 | GATEWAY |
| Pennsylvania | Other | 1675564 | GATEWAY |
| Pennsylvania | Other | 50044074 | GATEWAY |
| Pennsylvania | MEDICAID | 1027806650001 | GATEWAY |
| Pennsylvania | Other | 90778 | GATEWAY |
| Pennsylvania | Other | 9204472 | GATEWAY |
| Pennsylvania | Other | 11803021 | GATEWAY |
| Pennsylvania | Other | 1675564 | GATEWAY |
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