Graham, Nicole Teresa

Graham, Nicole Teresa is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. 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, Nicole Teresa can be contacted via phone (321) 732-1434.

Contact Information

Primary practice address
1425 Malabar Rd Ne Palm Bay FL 32907-2506
Phone: (321) 732-1434
Fax: (321) 434-8533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9314135 Florida

Profile Details

NPI number 1528463916
LBN Legal business name Graham, Nicole Teresa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Dec 1st, 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 1528463916 NPPES
Florida Other P5040 MEDICARE HF

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