Individual
KIMBERLY GRAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6832 CONVENT BLVD, SYLVANIA, OH 43560-4805
(800) 878-3210
Mailing address
915 OLIVE ST, OXFORD, MI 48371-5070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704356659
MI
163W00000X
Registered Nurse
Primary
RN.521472
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704356659
MI
Other
Enumeration date
07/27/2023
Last updated
05/22/2026
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