Individual
GLORIA L GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2921 HWY 77 S, SUITE 20, MARION, AR 72364-2367
(870) 739-5311
(870) 739-5542
Mailing address
2921 HWY 77 S, SUITE 20, MARION, AR 72364-2367
(870) 739-5311
(870) 739-5542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01560
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159872758
—
AR
Enumeration date
07/31/2006
Last updated
09/26/2011
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