Graham, Marie A

Graham, Marie A is an individual health care provider with primary practice located at 636 West Broadway St , No Little Rock AR 72114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Graham, Marie A can be contacted via phone (501) 374-1153.

Contact Information

Primary practice address
636 West Broadway St No Little Rock AR 72114
Phone: (501) 374-1153
Fax: (501) 374-6213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ATP-000116 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A003059 Arkansas

Profile Details

NPI number 1881878064
LBN Legal business name Graham, Marie A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Oct 31st, 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 1881878064 NPPES
Arkansas Other ATP000116 LICENSE

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