David Graham
Nurse Practitioner Nurse Practitioner - Gerontology
4367 Atlanta Hwy Ste C
Montgomery
, Alabama 36109-3171
David Graham
Nurse Practitioner Nurse Practitioner - Gerontology
4367 Atlanta Hwy Ste C
Montgomery
, Alabama 36109-3171
(334) 323-7148
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- David Graham
- Po Box 240132
- Montgomery, AL
- Zip : 36124-0132
- Fax : (334) 323-7148
- Phone : (443) 902-8816
Second Address
- David Graham
- 4367 Atlanta Hwy Ste C
- Montgomery, AL
- Zip : 36109-3171
- Fax : (334) 323-7148
- Phone : (334) 785-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-129274 | AL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 1-129274 | AL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | APRN11001771 | FL |
National Provider Identifier
| NPI | 1053506899 |
|---|---|
| Provider Name | David Graham |
| First Address | Montgomery, AL 36124-0132 |
| Second Address | Montgomery, AL 36109-3171 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2007 |
| Last Update Date | 11/03/2020 |
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.