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NPI Code Detail

MEDICARE: MARCIA LOU GRAVES C.R.N.A.

MEDICARE: MARCIA LOU GRAVES C.R.N.A.
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
1367500000XCertified Registered Nurse Anesthetist123086MA

General Provider Information

NPI Number : 1609873561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA LOU GRAVES C.R.N.A.
Provider Business Mailing Address
First Line : 690 CANTON ST
Second Line : SUITE 325
City : WESTWOOD
State : MA
Zip : 02090-2321
Country : US
Telephone Number : 781-407-7713
Fax Number : 781-407-0998
Provider Business Practice Location Address
First Line : 363 HIGHLAND AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-3703
Country : US
Telephone Number : 508-679-3131
Fax Number : 508-679-7146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 06/16/2010

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Directions to “ MARCIA LOU GRAVES C.R.N.A.” Practice Location

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