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Organization
YES IN PSYCHIATRY
Active
Organization
YES IN PSYCHIATRY
Active
Other names
YES in Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
NASCIA GRAHAM PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(908) 977-2050
Entity
Organization
Contact information
Practice address
950 MALABAR RD SW # 110584, PALM BAY, FL 32907-6834
(908) 977-2050
Mailing address
950 MALABAR RD SW # 110584, PALM BAY, FL 32907-6834
(908) 977-2050
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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