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General NPI Number Information
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NPI Number | 1265768576
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Entity Type | Individual
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Provider Name | CHERYL LYNN GRAVE KINSELLA RN, MSN, PNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3200 SOUTHWEST FWY STE 2100
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City | HOUSTON
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State | TX
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Zip | 77027-7525
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Country | US
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Telephone | 833-208-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 220 ATHENS WAY # 240
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City | NASHVILLE
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State | TN
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Zip | 37228-1311
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Country | US
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Telephone | 833-208-7770
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 383804
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 277001180
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5020433
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 36921
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11023989
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R0131486
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License Number State | OK
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Taxonomy #7
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | A006019
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License Number State | AR
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Taxonomy #8
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP500017560
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License Number State | DC
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Taxonomy #9
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 2003017719
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License Number State | MO
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Taxonomy #10
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1105800
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License Number State | TX
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