Provider Demographics
NPI:1013201748
Name:GRAVES, NANCY E (CD, CLC HBCE)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:GRAVES
Suffix:
Gender:F
Credentials:CD, CLC HBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 STATE HIGHWAY 102
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-7016
Mailing Address - Country:US
Mailing Address - Phone:207-266-6898
Mailing Address - Fax:
Practice Address - Street 1:1243 STATE HIGHWAY 102
Practice Address - Street 2:
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-7016
Practice Address - Country:US
Practice Address - Phone:207-266-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula