Individual
NICOLE H GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
310 EAST 14TH STREET, NY EYE & EAR INFIRMARY, NEW YORK, NY 10003
(212) 979-4000
Mailing address
22 IBM RD, SUITE 210, EAST MANHATTAN ANESTHESIA PARTNERS, LLC, POUGHKEEPSIE, NY 12601
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP03814
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN085532
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100820
—
LA
Enumeration date
04/26/2006
Last updated
07/27/2023
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