Healthcare Provider Details

I. General information

NPI: 1093099343
Provider Name (Legal Business Name): MOLLY E GRAVES WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 BILTMORE AVE SUITE H
ASHEVILLE NC
28803-2459
US

IV. Provider business mailing address

675 BILTMORE AVE SUITE H
ASHEVILLE NC
28803-2459
US

V. Phone/Fax

Practice location:
  • Phone: 828-210-8284
  • Fax: 828-350-7516
Mailing address:
  • Phone: 828-210-8284
  • Fax: 828-350-7516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberGRA104342929
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: