Individual
MIRIAM GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-PC
Contact information
Practice address
77 MILL ST, WESTFIELD, MA 01085-4598
(413) 568-6141
Mailing address
90 WILLIAMS ST, NORTHAMPTON, MA 01060-3335
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
174157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300080
MBHP
MA
05
—
1300881
—
MA
Enumeration date
03/29/2007
Last updated
07/08/2007
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