Individual
DIANA B GRAUMLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
500 VALLE VISTA DR, ATHENS, TX 75751-2760
(903) 286-0482
Mailing address
PO BOX 604, ATHENS, TX 75751-0604
(903) 286-0482
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
418213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP7165
BCBS
TX
Enumeration date
04/10/2007
Last updated
07/08/2007
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