Individual
MRS. KHALIDA M. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704248246
MI
363LF0000X
Family Nurse Practitioner
4704248246
MI
Other
Enumeration date
09/04/2017
Last updated
12/22/2022
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