Provider Demographics
NPI:1487393039
Name:GRAVES, NATASHA B (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:B
Last Name:GRAVES
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Gender:F
Credentials:APRN, FNP-BC
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-5500
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:1024 E ASCENSION COMPLEX BLVD
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4263
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-644-2822
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2023-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA224980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily