Individual provider · Type 1 NPI
Davis Michael Graham, PhD, RN, CNP
Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI number
1720331143
Active
Practice location
2001 Bloomington Ave
Minneapolis, MN 55404-3074
Fax (612) 638-0685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R 189172-6 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720331143
Davis Michael Graham, PhD, RN, CNP's National Provider Identifier is 1720331143, issued on Oct 23, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 24, 2012.