Individual
DIANE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1622 BOSTON POST RD, MILFORD, CT 06460-2776
(475) 209-9130
(203) 298-4380
Mailing address
44 FRANK ST, BRANFORD, CT 06405-4645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8667
CT
363LF0000X
Family Nurse Practitioner
Primary
8667
CT
Other
Enumeration date
12/27/2019
Last updated
11/01/2023
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