Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MAE DIANE GRAVELINE, PMHNP-BC, APRN-RNP
ActiveLISA MAE DIANE GRAVELINE, PMHNP-BC, APRN-RNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1801559984 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1801559984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2021 (4.7946775416654 yrs)
- Last Updated
- Mar 13, 2024
- License
-
RNP265685 (AZ)
Practice Information
- Address
-
3274 BOB DRPRESCOTT VALLEY, AZ, 863148640Browse AZ providers · Browse ZIP 86314
- Phone
- 9282035414
- Fax
- 8669843891
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN LYNNE FROST | DNP, MC, FPMHNP-BC | 1871859413 |
| CHERYL ANNE WAGNER | ARNP | 1023444049 |
| DIANA LEE LAZENBY | NP | 1912316233 |
| DAVID JENSON | DNP, PMHNP, FNP | 1396126983 |
| IBUKUN ODUTOLA | — | 1801404074 |
| COURTNEY K. ROUTSON | PMHNP | 1306415716 |
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.