Individual
MRS. NYCOLE LARAI GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6361 SWANSON ST, WINDERMERE, FL 34786-4118
(407) 496-1757
Mailing address
6361 SWANSON ST, WINDERMERE, FL 34786-4118
(407) 496-1757
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
786381
CA
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9257356
FL
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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