Gravley, Andrea Margaret
Gravley, Andrea Margaret is an individual health care provider with primary practice located at 17705 Hutchins Dr Ste 101 , Minnetonka MN 55345-4102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gravley, Andrea Margaret can be contacted via phone (952) 401-8300.Contact Information
Primary practice address
17705 Hutchins Dr Ste 101
Minnetonka MN 55345-4102
Phone: (952) 401-8300
Fax: (952) 401-8373
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R1574690 | Minnesota |
Profile Details
NPI number | 1104074434 |
---|---|
LBN Legal business name | Gravley, Andrea Margaret |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2008 |
Last updated | Jun 16th, 2024 - about last year |
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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