Individual
ELIZABETH ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4682
(918) 300-1438
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4682
(918) 300-1438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0087367
OK
163WM0102X
Maternal Newborn Registered Nurse
Primary
R0087367
OK
Other
Enumeration date
04/23/2026
Last updated
05/07/2026
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