Debra E Graham, RN
Individual provider Active NPI Registered Nurse First Assistant · Hernando, FL
NPI 1902106602 · NPPES record last updated Oct 27, 2010
Key facts
- NPI
- 1902106602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- 1429042 (FL)
- Practice address
- 391 W Herndon St
Hernando, FL 34442-5118 - Phone
- (352) 746-3282
- NPI assigned
- Oct 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1429042 | FL | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 1429042 | FL | Yes |
Addresses
Primary practice location
391 W Herndon St
Hernando, FL 34442-5118
Mailing address
391 W Herndon St
Hernando, FL 34442-5118
Phone (352) 746-3282
Other providers in Hernando, FL
- Marc E Fernandez
- G & R Pharmacy Inc
- Rhonda Gaddis
- James Gage
- John Gibson
- Brianne Gray
- Greg Brown LMT, Inc
- Nancy Perkins Grossman
- Guru Healthcare, LLC
- H2 Rehabilitation Services of Florida LLC
All providers in Hernando, FL · Registered Nurse First Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2010. 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.