Individual
DAVID GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AG-ACNP-BC
Contact information
Practice address
200 E MARKET ST, AKRON, OH 44308-2015
(330) 761-7500
Mailing address
200 E MARKET ST, AKRON, OH 44308-2015
(330) 761-7500
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
357112
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
0029551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901131
—
OH
Enumeration date
05/12/2015
Last updated
08/17/2021
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