Individual provider · Type 1 NPI
Allyssa Baucom Graham, APRN
Acute Care Nurse Practitioner · New Haven, CT
NPI number
1730484171
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
123 York St Apt 21C
New Haven, CT 06511-5640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 004548 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1730484171
Allyssa Baucom Graham, APRN's National Provider Identifier is 1730484171, issued on Jan 16, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Haven, CT. The record was last updated on Jan 16, 2011.