Individual provider · Type 1 NPI

Nicole Anise Graham, LPN

Licensed Practical Nurse · Medford, NY

NPI number 1356853451 Active

Practice location

37 Matsunaye Dr
Medford, NY 11763-4112

Call (631) 394-1357 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X330386 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1356853451

Nicole Anise Graham, LPN's National Provider Identifier is 1356853451, issued on Oct 30, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Oct 30, 2017.