Graham, Angela D

Graham, Angela D is an individual health care provider with primary practice located at 210 W Walnut St , Canton IL 61520-2497. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Graham, Angela D can be contacted via phone (309) 647-5240.

Contact Information

Primary practice address
210 W Walnut St Canton IL 61520-2497
Phone: (309) 647-5240
Fax: (309) 649-5128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 209008727 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209008727 Illinois

Profile Details

NPI number 1902105760
LBN Legal business name Graham, Angela D
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2011
Last updated Mar 12th, 2021 - about 4 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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