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Levi Graves

NPI 1720863871 · on the registry since 2023

Practice

Address: 415 N 3rd Ave Ste B
Pocatello, ID 83201
Phone: (208) 646-4165
Organisation at this address: Robert L. Fackrell Dds Pa
Nobility Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho