Individual
MS. TY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 HEATH TRCE, CANAL WINCHESTER, OH 43110-7706
(419) 371-3740
Mailing address
3524 HEATH TRCE, CANAL WINCHESTER, OH 43110-7706
(614) 398-0264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN.155456.MEDS
OH
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
08/12/2025
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