Individual provider · Type 1 NPI

Kathleen Graham, AGPCNP-C

Gerontology Nurse Practitioner · Philadelphia, PA

NPI number 1043760200 Active

Practice location

1900 N 9th St
Philadelphia, PA 19122

Fax (215) 765-6694

Mailing address

1500 Market St. West Tower, Lm 500
Philadelphia, PA 19102

Other practice locations

  • 1100 9th Ave, Mailstop G1-MSO, Seattle, WA 98101-2756 · (206) 583-6063
  • 1100 9th Ave, Mailstop G1-MSO, Seattle, WA 98101-2756 · (206) 583-6063

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP60690424 (WA)
Gerontology Nurse Practitioner Primary 363LG0600XSP019911 (PA)

Gerontology Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1043760200

Kathleen Graham, AGPCNP-C's National Provider Identifier is 1043760200, issued on Oct 11, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2019.