Graham, Katie Marie

Graham, Katie Marie is an individual health care provider with primary practice located at 1980 Tamarack Rd , Newark OH 43055-1363. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Graham, Katie Marie can be contacted via phone (220) 564-7520.

Contact Information

Primary practice address
1980 Tamarack Rd Newark OH 43055-1363
Phone: (220) 564-7520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.16759 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.16759 Ohio

Profile Details

NPI number 1982009288
LBN Legal business name Graham, Katie Marie
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2014
Last updated Dec 9th, 2022 - 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 1982009288 NPPES
Ohio MEDICAID 0113641

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