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Individual
ANGELA FERGUSON GRAHAM
Active
Individual
ANGELA FERGUSON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001195632
VA
363L00000X
Nurse Practitioner
0024177989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001195632
VA BOARD OF NURSING
VA
01
—
0024177989
APRN NURSE PRACTITIONER
VA
Enumeration date
07/02/2019
Last updated
11/12/2019
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