DAVID GRAHAM APRN AG-ACNP-BC NPI 1457739310

NPI Information

NPI: 1457739310
Provider Name: DAVID GRAHAM, APRN, AG-ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
200 E MARKET ST
AKRON, OH
ZIP 44308
Phone: (330) 761-7500
Get Directions

David Graham, APRN, AG-ACNP-BC is an acute care nurse practitioner in Akron, OH with 3 years of experience. David Graham, APRN, AG-ACNP-BC NPI is 1457739310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 E MARKET ST
AKRON, OH
ZIP 44308-015
Phone: (330) 761-7500

The NPI 1457739310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 8/17/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	0029551	OHIO	Yes
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	357112	OHIO	No

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	2901131	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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