Individual provider · Type 1 NPI

Brenda Lee Graham

Gerontology Nurse Practitioner · Byron Center, MI

NPI number 1114997624 Active

Practice location

7751 Byron Center Ave SW, Suite C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704218257 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114997624

Brenda Lee Graham's National Provider Identifier is 1114997624, issued on Jan 25, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Byron Center, MI. The record was last updated on Aug 18, 2014.