Graham, Cleo D

Graham, Cleo D is an sole proprietor health care provider with primary practice located at 111 Howland Ave , East Providence RI 02914-3054. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Graham, Cleo D can be contacted via phone (401) 438-6609.

Contact Information

Primary practice address
111 Howland Ave East Providence RI 02914-3054
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X NPP23079 Rhode Island
Nursing Service Providers / Diabetes Educator 163WD0400X RN23079 Rhode Island

Profile Details

NPI number 1003947086
LBN Legal business name Graham, Cleo D
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1003947086 NPPES
Rhode Island Other 22916-4 BLUE CROSS BLUE SHIELD
Rhode Island Other 410545 BLUE CROSS BLUE SHIELD
Rhode Island Other 28451 BLUE CROSS BLUE SHIELD

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