Graham, Nancy B
Graham, Nancy B is an individual health care provider with primary practice located at Route 301 North B Street , Zuni NM 87327-0467. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Graham, Nancy B can be contacted via phone (505) 782-4431.Contact Information
Primary practice address
Route 301 North B Street
Zuni NM 87327-0467
Phone: (505) 782-4431
Fax: (505) 782-7551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 00388351 550 | New Mexico |
Profile Details
| NPI number | 1558360677 |
|---|---|
| LBN Legal business name | Graham, Nancy B |
| Credentials | DIETITIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558360677 | NPPES |
| New Mexico | MEDICAID | 18586571 |
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