MRS. CLEO D GRAHAM R.N.P NPI 1003947086

NPI Information

NPI: 1003947086
Provider Name: MRS. CLEO D GRAHAM, R.N.P
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
111 HOWLAND AVE
EAST PROVIDENCE, RI
ZIP 02914
Phone: (401) 438-6609
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MRS. Cleo D Graham, R.N.P is a diabetes educator registered nurse in East Providence, RI. MRS. Cleo D Graham, R.N.P NPI is 1003947086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 HOWLAND AVE
EAST PROVIDENCE, RI
ZIP 02914-054
Phone: (401) 438-6609

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	NPP23079	RHODE ISLAND	No
2	163WD0400X	Registered Nurse	Diabetes Educator	RN23079	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22916-4	OTHER	RHODE ISLAND	BLUE CROSS BLUE SHIELD
2	28451	OTHER	RHODE ISLAND	NEIGHBORHOOD HEALTH PLAN
3	410545	OTHER	RHODE ISLAND	BLUE CHIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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