Individual
CARRIE LYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2720 W BASELINE RD STE 140, TEMPE, AZ 85283-1065
(602) 777-6000
(602) 438-6550
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(602) 777-6000
(602) 438-6550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4484
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685332
—
AZ
Enumeration date
09/09/2009
Last updated
01/02/2026
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