Provider Demographics
NPI:1477187706
Name:GRAVES, LAURA (DNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:GRAVES
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:BATDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4611 E 32ND LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4970
Mailing Address - Country:US
Mailing Address - Phone:509-460-0356
Mailing Address - Fax:
Practice Address - Street 1:35 W 8TH AVE STE 440
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2361
Practice Address - Country:US
Practice Address - Phone:509-456-6556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60462775163WN0002X
NE81021163WN0002X
WAN361086514363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care