Provider Demographics
NPI:1548375512
Name:GRABER, ANGELA K (RNC)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:K
Last Name:GRABER
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3800 E 500 N
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IN
Mailing Address - Zip Code:47558-5033
Mailing Address - Country:US
Mailing Address - Phone:812-486-3936
Mailing Address - Fax:812-257-2134
Practice Address - Street 1:2 NE 21ST ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-3134
Practice Address - Country:US
Practice Address - Phone:812-254-6936
Practice Address - Fax:812-257-2134
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28090656A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health