Individual
KRISTIN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, CPNP-PC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN9310757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015417800
—
FL
Enumeration date
07/06/2015
Last updated
01/24/2020
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