Marie A Graham in No Little Rock - Nurse Practitioner

Marie A Graham - NPI 1881878064

Marie A Graham is a Nurse Practitioner in No Little Rock, Arkansas. Marie A Graham practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Marie A Graham is 1881878064. The last update date is 2019-10-31.

Marie A Graham's current location address is 636 West Broadway St, No Little Rock, Arkansas. You can contact this provider via phone number 5013741153 and fax number 5013746213. The mailing address for Marie A Graham is 636 West Broadway St, No Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie A Graham
Address 636 West Broadway St, No Little Rock, Arkansas
Phone Number 5013741153
Fax Number 5013746213
Sole Proprietor N
Credentials APN

NPI Number Detail

NPI Number 1881878064
Provider Enumeration Date 2007-12-24
Last Updated Date 2019-10-31

Provider Mailing Address Detail

Address 636 West Broadway St
City No Little Rock
State Arkansas (AR)
Post Code 72114
Phone Number 5013741153
Fax Number 5013746213

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No A003059
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ATP000116 AR LICENSE

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FAQs about Marie A Graham

What is the unique 10-digit identifier code assigned to Marie A Graham by the Centers for Medicare & Medicaid Services?

The Marie A Graham has been issued the NPI (National Provider Identifier) 1881878064 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Marie A Graham?

The Marie A Graham is situated at 636 West Broadway St, in the city of No Little Rock, state of AR, with the zip code 72114.

What is Marie A Graham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Marie A Graham's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date was the 1881878064 assigned to Marie A Graham?

The Marie A Graham was issued its 1881878064 on 2007-12-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Marie A Graham's information last updated?

The Marie A Graham's information was last updated on 2019-10-31.

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