Individual
CAROLYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1900 AKRON RD, WOOSTER, OH 44691-2518
(330) 264-4489
Mailing address
4672 W BRITTON RD, BURBANK, OH 44214-9750
(330) 464-1390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0316688
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180416
—
OH
Enumeration date
07/12/2016
Last updated
10/28/2020
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