| Doctor Name: | MRS. STEPHANIE GRAVES |
| NPI Number: | 1164714028 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA001274 |
| Business Practice Address: | 163 Van Buren Rd Caribou, ME - 047363567 |
| Business Phone Number: | 2074982448 |
| Business Fax Number: | 2074982483 |
| Mailing Address: | Po Box 40, CARIBOU |
| State: | ME |
| Postal Code: | 047360040 |
| Phone Number: | 2074982359 |
| Fax Number: | 2074983947 |
| NPI Enumeration Date: | 05/11/2011 |
| NPI Last Update Date: | 10/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA001274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |