Individual
ANGELA D GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 697-1286
Mailing address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 697-1286
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
36565
WV
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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