Individual
SUSAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1308 VIVIAN ST, LONGMONT, CO 80501-3217
(800) 628-7828
Mailing address
1120 E ELIZABETH ST STE 2, FORT COLLINS, CO 80524-4044
(970) 493-9193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
1819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51153203
—
CO
Enumeration date
10/09/2006
Last updated
04/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us