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Mrs. Angela D Graham, CPNP-AC
Nurse Practitioner in Canton, Illinois
NPI 1902105760

Angela D Graham is a Nurse Practitioner based in Canton, IL. Angela D Graham practices in Canton, IL and has the professional credentials of CPNP-AC. The NPI Number for Angela D Graham is 1902105760 and holds a License No. 209008727 (Illinois).

The current practice location address for Angela D Graham is 210 W Walnut St, Canton, IL and can be reached out via phone at 309-647-5240 and via fax at 309-649-5128.

Location: 210 W Walnut St, Canton, IL, 61520-2497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902105760
Provider Name
Angela D Graham
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
210 W Walnut St, Canton, IL, 61520-2497
Phone Number
309-647-5240
Fax Number
309-649-5128
Provider Enumeration Date
03/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 W Walnut St
City
Canton
State
Illinois
Zip
61520-2497
Phone Number
309-647-5240
Fax Number
309-649-5128
person
Provider Business Mailing Address Details
Address
210 W Walnut St
City
Canton
State
Illinois
Zip
61520-2497
Phone Number
309-647-5240
Fax Number
309-649-5128
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209008727 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
363LP0222X
License No.
209008727 (Illinois)
Definition
Definition to come...
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