Annette S Graham
Nurse Practitioner - Adult Health
5507 Dorchester Rd
Richmond
, Virginia 23225-3019
Annette S Graham
Nurse Practitioner - Adult Health
5507 Dorchester Rd
Richmond
, Virginia 23225-3019
(804) 282-6953
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Annette S Graham
- 5507 Dorchester Rd
- Richmond, VA
- Zip : 23225-3019
- Phone : (804) 282-6953
Second Address
- Annette S Graham
- 5507 Dorchester Rd
- Richmond, VA
- Zip : 23225-3019
- Phone : (804) 282-6953
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024166681 | VA |
National Provider Identifier
| NPI | 1033173380 |
|---|---|
| Provider Name | Annette S Graham |
| First Address | Richmond, VA 23225-3019 |
| Second Address | Richmond, VA 23225-3019 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 25/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C01120 | MEDICARE GROUP PTAN (01) | VA |
| C05844 | MEDICARE GROUP PTAN (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.