Individual
MS. SHELLEY ANN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4042 ABACO DR, TAVARES, FL 32778-5905
(352) 457-4007
Mailing address
4042 ABACO DR, TAVARES, FL 32778-5905
(352) 457-4007
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11009724
FL
Other
Enumeration date
03/17/2021
Last updated
03/23/2021
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