Graham, Anna

Graham, Anna is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Graham, Anna can be contacted via phone (203) 503-3000.

Contact Information

Primary practice address
428 Columbus Ave New Haven CT 06519-1233
Fax: (203) 503-3224
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 280394 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 8309 Connecticut

Profile Details

NPI number 1831753045
LBN Legal business name Graham, Anna
Credentials APRN, AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Jul 19th, 2019 - about 6 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 1831753045 NPPES
Connecticut MEDICAID 004235900

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