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Individual
LAURA GRAHAM
Active
Individual
LAURA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9326824
FL
363L00000X
Nurse Practitioner
RN9326824
FL
363LF0000X
Family Nurse Practitioner
APRN9326824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015419300
—
FL
Enumeration date
05/05/2015
Last updated
11/10/2021
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