Individual
CHERYL RAE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5991
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5817
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3003214
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201299430
—
IN
05
—
78004603
—
KY
Enumeration date
07/08/2005
Last updated
07/29/2022
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