Individual
ADRIENNE LISA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21758 STATE ROAD 54, LUTZ, FL 33549-6921
(813) 563-6070
(813) 563-6040
Mailing address
21758 STATE ROAD 54, LUTZ, FL 33549-6921
(813) 563-6070
(813) 563-6040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11010827
FL
Other
Enumeration date
01/13/2021
Last updated
02/11/2021
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