Felicia Graves
Nurse's Aide in La Porte, TX. Individual provider (NPI-1).
NPI number1164106902
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1164106902
- Entity type
- Individual (NPI-1)
- Name
- Felicia Graves
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2023
- Certification date
- Jun 12, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | NA0060055777 | TX | Yes |
| 261QA0006X | Clinic/Center, Ambulatory Fertility Facility | na0060055777 | TX |
Practice location
201 S 6th StLa Porte, TX 77571-4903
Phone 225-505-8448
Mailing address
201 S 6th StLa Porte, TX 77571-4903
Phone 225-505-8448
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