Active NPIIndividual provider

Kim Graham, NP-C

Nurse Practitioner in Gloucester, Massachusetts

NPI Number1376764225
Practice location
298 Washington St, Gloucester, MA 01930-4832
Fax
978-283-0456
Last updated
July 8, 2007

Kim Graham is a Nurse Practitioner based in Gloucester, MA. Kim Graham practices in Gloucester, MA and has the professional credentials of NP-C. The NPI Number for Kim Graham is 1376764225 and holds a License No. 168831 (MA). The current practice location address for Kim Graham is 298 Washington St, Gloucester, MA 01930-4832 and can be reached out via phone at 978-283-7580 and via fax at 978-283-0456.

Provider Profile Details

NPI Number
1376764225
Provider Name
Kim Graham
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
298 Washington St, Gloucester, MA 01930-4832
Phone Number
978-283-7580
Fax Number
978-283-0456
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
-- Kim Grennan (Former Name)
Provider Enumeration Date
May 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
298 Washington St
Gloucester, MA 01930-4832
Zip
01930-4832
Phone Number
978-283-7580
Fax Number
978-283-0456
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
9 Old Jacobs RD
Georgetown, MA 01833-1009
City
Georgetown
State
MA
Zip
01833-1009
Phone Number
978-352-7540

License Information

License Number
168831
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kim Graham, NP-C?

The NPI number of Kim Graham, NP-C is 1376764225. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Kim Graham, NP-C?

Kim Graham, NP-C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 168831.

Where does Kim Graham, NP-C practice?

The practice location is 298 Washington St, Gloucester, MA 01930-4832. The office can be reached at 978-283-7580 (phone) or 978-283-0456 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376764225 directly on the NPPES registry website.

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