Individual provider · Type 1 NPI
Diyong S. Graham, CRNP
Primary Care Nurse Practitioner · Philadelphia, PA
NPI number
1144820622
Active
Practice location
3900 Woodland Ave
Philadelphia, PA 19104-4594
Mailing address
150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP022699 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1144820622
Diyong S. Graham, CRNP's National Provider Identifier is 1144820622, issued on Oct 26, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 12, 2025.