Individual
ANUM GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 TUCKER AVE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-1734
Mailing address
UNM PA PROGRAM MSC 09 5040 1 UNM, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0014
NM
363A00000X
Physician Assistant
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
07/08/2025
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