Graham, Deonna

Graham, Deonna is an individual health care provider with primary practice located at 460 Ridgecrest Drive Suite 214, Bethel AK 99559-0528. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Graham, Deonna can be contacted via phone (907) 543-2762.

Contact Information

Primary practice address
460 Ridgecrest Drive Suite 214 Bethel AK 99559-0528
Phone: (907) 543-2762
Fax: (907) 543-3152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1225565831
LBN Legal business name Graham, Deonna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated May 12th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225565831 NPPES
Alaska MEDICAID 1002447

Popular Providers