Bethany Anne Graham CNP

NPI 1225345549 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1225345549
Gender Female
Enumeration Date 09/08/2010
Last Updated 10/15/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
1250 RALSTON AVE
SUITE 204
DEFIANCE OH, 43512-5311, US
Phone (419) 782-8332
Fax (419) 782-6855
Business Location
1250 RALSTON AVE
SUITE 204
DEFIANCE OH, 43512-5311, US
Phone (419) 782-8332
Fax (419) 782-6855
Toxanomy
Taxonomy Code 363L00000X
License State Ohio
License Number NP11740
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According to our database, Bethany Anne Graham CNP NPI is 1225345549, taxonomy code is 363L00000X and license number is NP11740, license state is located at Ohio. Bethany Anne Graham CNP physically located at 1250 Ralston Ave, Defiance OH, 43512-5311. NPI Number Bethany Anne Graham CNP has the Individual type.

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1225345549 NPI number is provided on an as is basis without warranty of any kind. 1225345549 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany Anne Graham CNP are for informational purposes only.