Individual provider · Type 1 NPI
Lisa Marie Graham
Pediatric Nurse Practitioner · Columbus, OH
NPI number
1659896041
Active
Practice location
700 Childrens Dr
Columbus, OH 43205-2664
Mailing address
907 Armstrong Dr
Willard, OH 44890-9152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN.CNP.021468 (OH) |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.021468 (OH) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1659896041
Lisa Marie Graham's National Provider Identifier is 1659896041, issued on Aug 7, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbus, OH. The record was last updated on Aug 5, 2026.