Individual
EDWARD GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN / PMHNP-BC
Contact information
Practice address
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103-4138
(702) 848-2256
Mailing address
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103-4138
(702) 848-2256
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
842896
NV
Other
Enumeration date
06/16/2021
Last updated
02/05/2022
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