Provider Demographics
NPI:1326866302
Name:GRAVES, CATHERINE (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:GRAVES
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:GRAVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1916 US HWY 34
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048
Mailing Address - Country:US
Mailing Address - Phone:402-296-3322
Mailing Address - Fax:
Practice Address - Street 1:1916 US HWY 34
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048
Practice Address - Country:US
Practice Address - Phone:402-296-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE59295163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool