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NPI Code Detail

MEDICARE: LEAH BETH GRAU APRN, CNP

MEDICARE: LEAH BETH GRAU APRN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner243311AZ
2363LA2200XAdult Health Nurse PractitionerAPRN11045236FL
3363LA2200XAdult Health Nurse Practitioner243311AZ

General Provider Information

NPI Number : 1134746951
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH BETH GRAU APRN, CNP
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2020
Last Update Date : 02/11/2026

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