Graham, Annette S

Graham, Annette S is an individual health care provider with primary practice located at 5507 Dorchester Rd , Richmond VA 23225-3019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Graham, Annette S can be contacted via phone (804) 282-6953.

Contact Information

Primary practice address
5507 Dorchester Rd Richmond VA 23225-3019
Phone: (804) 282-6953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024166681 Virginia

Profile Details

NPI number 1033173380
LBN Legal business name Graham, Annette S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033173380 NPPES
Virginia Other C01120 MEDICARE GROUP PTAN
Virginia Other C05844 MEDICARE GROUP PTAN

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