Individual provider · Type 1 NPI
Kallie Renee Graham, APRN, NNP-BC
Critical Care Neonatal Nurse Practitioner · Minneapolis, MN
NPI number
1972078632
Active
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 6255 (MN) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1972078632
Kallie Renee Graham, APRN, NNP-BC's National Provider Identifier is 1972078632, issued on Oct 9, 2018. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 23, 2025.