Carolyn Graham
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ione, CA
NPI 1235929159 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1235929159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4001 Highway 104
Ione, CA 95640 - Phone
- (209) 274-4911
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4001 Highway 104
Ione, CA 95640
Mailing address
PO Box 872
Galt, CA 95632-0872
Phone (209) 327-8136
Other providers in Ione, CA
- Frederick Fowler
- Richard Parnell Galloway
- Felicity M Gazowsky
- Julia E Gilbert
- Michael John Giovannoni
- Cheryl D Hanson
- Sam Kane Harary
- Hillary H Hart
- Wesley K. Hashimoto
- Lucy You Her
All providers in Ione, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.