IndividualActive
Andrea Gravley, CPNP
NPI 1104074434 · Pediatric Nurse Practitioner · Minnetonka, MN
Provider details
- NPI number
- 1104074434
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- R1574690 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102
Phone: (952) 401-8300
Fax: (952) 401-8373
Approximate (ZIP-level) locationGet directions
Mailing address
17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2024-06-16
- Certified
- 2024-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.