Individual
SUSAN R GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
HIGHWAY 191 HOSPITAL DRIVE, CHINLE, AZ 86503
(518) 944-9660
Mailing address
PO BOX 1569, CHINLE, AZ 86503-1569
(518) 944-9660
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01780198
—
NY
Enumeration date
05/18/2006
Last updated
01/31/2014
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