Graham, La Risa

Graham, La Risa is an sole proprietor health care provider with primary practice located at 2 Univeristy Plz Ste 100 , Hackensack NJ 07601. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Graham, La Risa can be contacted via phone (347) 753-8833.

Contact Information

Primary practice address
2 Univeristy Plz Ste 100 Hackensack NJ 07601
Phone: (347) 753-8833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 794434 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ14844200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404814 New York

Profile Details

NPI number 1164769030
LBN Legal business name Graham, La Risa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2013
Last updated Apr 2nd, 2024 - about 2 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 1164769030 NPPES
Other NONE NONE

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