Individual
TONIA LANETTE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20449 N LAKE PLEASANT RD STE 101, PEORIA, AZ 85382
(602) 570-5587
Mailing address
20449 N LAKE PLEASANT RD STE 101, PEORIA, AZ 85382-2707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN088868
AZ
363LF0000X
Family Nurse Practitioner
AP5186
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP5186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852024
—
AZ
Enumeration date
08/13/2013
Last updated
01/21/2026
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