Allyssa Baucom Graham APRN

NPI 1730484171 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1730484171
Gender Female
Enumeration Date 01/16/2011
Last Updated 01/16/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
20 YORK ST
NEW HAVEN CT, 06510-3220, US
Phone (203) 688-2000
Fax
Business Location
123 YORK ST APT 21C
NEW HAVEN CT, 06511-5640, US
Phone (203) 393-5325
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Connecticut
License Number 004548
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According to our database, Ms. Allyssa Baucom Graham APRN NPI is 1730484171, taxonomy code is 363LA2100X and license number is 004548, license state is located at Connecticut. Allyssa Baucom Graham APRN physically located at 20 York St, New Haven CT, 06510-3220. NPI Number Allyssa Baucom Graham APRN has the Individual type.

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1730484171 NPI number is provided on an as is basis without warranty of any kind. 1730484171 is maintained by the National Plan & Provider Enumeration System. The contents of Allyssa Baucom Graham APRN are for informational purposes only.