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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEAH GRAVESEN

Active Sole Proprietor

LEAH GRAVESEN is a Family Nurse Practitioner healthcare provider located in STREATOR, Illinois. NPI 1477191336 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · STREATOR, IL

Registration Details

NPI Number
1477191336
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2019 (6.4931071226292 yrs)
Last Updated
Jan 24, 2022
License
209020593 (IL)
Sole Proprietor
Yes

Practice Information

Address
311 S OTTER CREEK RD
STREATOR, IL, 613643117
Browse IL providers · Browse ZIP 61364
Phone
8152575324
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in STREATOR, IL

Name Credential NPI
MS. PATRICIA A DUFFIELD CNP 1134104755
SUSAN C. PAVLICK RN-C, FNP 1679550420
JOAN MARIE LUCKEY APRN,BC 1881767762
PATRICIA A HESS NP 1104171529
MRS. JESSICA L HARTMAN APN-C 1518202373
LAURIE SABOL FNP 1992241327
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.