Individual provider · Type 1 NPI

Kathleen Powers Graham, NP-C

Adult Health Nurse Practitioner · Plymouth, MN

NPI number 1407100357 Active

Practice location

15700 37th Ave N Ste 300
Plymouth, MN 55446-3661

Mailing address

1973 Sloan Pl
Maplewood, MN 55117-2084

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XG0712013 (MN)
Adult Health Nurse Practitioner Primary 363LA2200XA0712144 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1407100357

Kathleen Powers Graham, NP-C's National Provider Identifier is 1407100357, issued on Oct 30, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Plymouth, MN. The record was last updated on Apr 24, 2018.