Individual
MICHELE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
165 THORNDIKE ST APT 513, LOWELL, MA 01852-3489
(817) 443-8775
Mailing address
2533 MILL SPRINGS PASS, FORT WORTH, TX 76123-2615
(817) 443-8775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
844153
TX
163WA2000X
Administrator Registered Nurse
844153
TX
163WC0400X
Case Management Registered Nurse
844153
TX
163WH0200X
Home Health Registered Nurse
844153
TX
Other
Enumeration date
07/22/2016
Last updated
08/08/2019
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