Individual
SHANA P GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSING AI
Contact information
Practice address
8308 E 11TH ST, INDIANAPOLIS, IN 46219-4003
(317) 531-1550
Mailing address
8308 E 11TH ST, INDIANAPOLIS, IN 46219-4003
(317) 531-1550
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
IN
376K00000X
Nurse's Aide
—
IN
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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