Michelle Lynn Graves, CNP | |
24760 Hospital Rd, Red Lake, MN 56671 | |
(218) 679-3912 | |
Not Available |
Full Name | Michelle Lynn Graves |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 24760 Hospital Rd, Red Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134907579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 10703 (Minnesota) | Primary |
Entity Name | Phs Indian Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
Mailing Address | Practice Location Address |
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Michelle Lynn Graves, CNP Po Box 695, Redby, MN 56670-0695 Ph: (218) 766-5124 | Michelle Lynn Graves, CNP 24760 Hospital Rd, Red Lake, MN 56671 Ph: (218) 679-3912 |
Ms. Tracy Brower, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 1, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0135 | |
Mr. Bruce James Chaffee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Red Lake Hospital, 24760 Hospital Drive, Red Lake, MN 56671 Phone: 218-679-3912 | |
Rachel Koch, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Dr, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181 | |
Tricia Lynn Cowan, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24760 Hospital Dr, Red Lake, MN 56671 Phone: 218-679-0168 Fax: 218-679-3912 | |
Kathleen Marmorine, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Highway 1, Box 497, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181 | |
Dr. Kari Lynn Josefson, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Drive, Red Lake, MN 56671 Phone: 218-679-3912 |