Individual provider · Type 1 NPI
Kim Graham, NP-C
Nurse Practitioner · Gloucester, MA
Practice location
298 Washington St
Gloucester, MA 01930-4832
Fax (978) 283-0456
Mailing address
9 Old Jacobs Rd
Georgetown, MA 01833-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 168831 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1376764225
Kim Graham, NP-C's National Provider Identifier is 1376764225, issued on May 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gloucester, MA. The record was last updated on Jul 8, 2007.