Provider Demographics
NPI:1578358917
Name:GRAWEY CLINIC
Entity type:Organization
Organization Name:GRAWEY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAWEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:715-498-8817
Mailing Address - Street 1:417 OAK VIEW CT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:WI
Mailing Address - Zip Code:54406-9270
Mailing Address - Country:US
Mailing Address - Phone:715-498-8817
Mailing Address - Fax:
Practice Address - Street 1:417 OAK VIEW CT
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:WI
Practice Address - Zip Code:54406-9270
Practice Address - Country:US
Practice Address - Phone:715-498-8817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center