Individual
MRS. PATRICIA ELLEN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, FNP-BC, MSN
Contact information
Practice address
4706 STONERIDGE CT, SIOUX CITY, IA 51106-9767
(402) 212-1307
Mailing address
4706 STONERIDGE CT, SIOUX CITY, IA 51106-9767
(402) 212-1307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-070226
IA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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