Individual
DEBRA L MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1802 HARPER RD, SUITE 102, BECKLEY, WV 25801-3375
(304) 252-9211
(304) 252-9218
Mailing address
1802 HARPER RD, SUITE 102, BECKLEY, WV 25801-3375
(304) 252-9211
(304) 252-9218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
41174
WV
363LF0000X
Family Nurse Practitioner
NP.11195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057716
BWC
WV
01
—
291672
UNISON
OH
01
—
310917086051
CARESOURCE
OH
05
—
7103041000
—
WV
Enumeration date
06/27/2006
Last updated
08/23/2016
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