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Individual

MRS. ANNE E. GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, MSN, FACCWS

Contact information

Practice address
11160 HIGHWAY 62, EAGLE POINT, OR 97524-8025
(541) 773-3863
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 773-3863
(541) 842-7776

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201394743NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500671776
OR
Enumeration date
08/19/2013
Last updated
04/04/2024
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