Individual
BETHANY ANNE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1250 RALSTON AVE, SUITE 204, DEFIANCE, OH 43512-5311
(419) 782-8332
(419) 782-6855
Mailing address
1250 RALSTON AVE, SUITE 204, DEFIANCE, OH 43512-5311
(419) 782-8332
(419) 782-6855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP11740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3093558
—
OH
01
—
GRNP37611
MEDICARE
OH
Enumeration date
09/08/2010
Last updated
11/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us