Individual
JANET MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
56 EDWARDS VILLAGE BLVD, STE 208, EDWARDS, CO 81632-7802
(303) 338-4545
Mailing address
56 EDWARDS VILLAGE BLVD, STE 208, EDWARDS, CO 81632-7802
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0990802
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027123
KAISER COMMERCIAL NUMBER
CO
05
—
26034361
—
CO
Enumeration date
02/11/2014
Last updated
02/05/2017
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