Graves, Marta

Graves, Marta is an individual health care provider with primary practice located at 100 Kahelu Ave Ste 226 , Mililani HI 96789-3962. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Graves, Marta can be contacted via phone (808) 621-1000.

Contact Information

Primary practice address
100 Kahelu Ave Ste 226 Mililani HI 96789-3962
Phone: (808) 621-1000
Fax: (808) 627-6000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0002659 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AMD-1218 Hawaii

Profile Details

NPI number 1346400975
LBN Legal business name Graves, Marta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Mar 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346400975 NPPES
Colorado MEDICAID 98839225

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