Individual
JAMES L GRAHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
801 ENCINO PLACE, NE BLDG F, ALBUQUERQUE, NM 87102
(505) 272-1312
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01160
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044410103
—
TX
Enumeration date
07/10/2006
Last updated
09/19/2013
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