Graham, Michelle Lynn

Graham, Michelle Lynn is an individual health care provider with primary practice located at 310 2Nd Ave Sw 106-B, Miami OK 74354-6743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Graham, Michelle Lynn can be contacted via phone (918) 540-7634.

Contact Information

Primary practice address
310 2Nd Ave Sw 106-B Miami OK 74354-6743
Phone: (918) 540-7634
Fax: (918) 540-7641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 64927 Oklahoma

Profile Details

NPI number 1285609248
LBN Legal business name Graham, Michelle Lynn
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285609248 NPPES
Oklahoma MEDICAID 200038540A
Oklahoma MEDICAID 200468380W

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