Individual
DAVID GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, NP-C
Contact information
Practice address
5911 MONTICELLO DR, MONTGOMERY, AL 36117-1940
(443) 902-8816
Mailing address
PO BOX 240132, MONTGOMERY, AL 36124-0132
(443) 902-8816
(334) 323-7148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
T20071316
MD
363L00000X
Nurse Practitioner
Primary
1-129274
AL
363LG0600X
Gerontology Nurse Practitioner
1-129274
AL
363LG0600X
Gerontology Nurse Practitioner
APRN11001771
FL
Other
Enumeration date
09/13/2007
Last updated
07/08/2024
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