Individual provider · Type 1 NPI

Timothy J. Graham, CRNA

Certified Registered Nurse Anesthetist · St. Louis, MO

NPI number 1699747766 Active

Practice location

12634 Olive Blvd, Ste 122
St. Louis, MO 63141-6337

Fax (314) 996-8910

Mailing address

660 S Euclid Ave, C B 8054
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X074653 (MO)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1699747766

Timothy J. Graham, CRNA's National Provider Identifier is 1699747766, issued on Feb 3, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 29, 2026.