Individual
GRAHAM CHARLES ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 SCHWEITZER PLAZA DR STE 1, PONDERAY, ID 83852-9819
(208) 263-0649
Mailing address
9408 N PRINCE WILLIAM LOOP, HAYDEN, ID 83835-0048
(208) 290-6147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62286
ID
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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