MARIE A GRAHAM APN NPI 1881878064

NPI Information

NPI: 1881878064
Provider Name: MARIE A GRAHAM, APN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: GREENBRIER EMERGENCY SERVICES, INC.

PECOS Registration: Yes

Address:
636 WEST BROADWAY ST
NO LITTLE ROCK, AR
ZIP 72114
Phone: (501) 374-1153
Get Directions

Marie A Graham, APN is an acute care nurse practitioner in No Little Rock, AR with 17 years of experience. Marie A Graham, APN NPI is 1881878064. 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:

636 WEST BROADWAY ST
NO LITTLE ROCK, AR
ZIP 72114
Phone: (501) 374-1153
Fax: (501) 374-6213

The NPI 1881878064 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 12/24/2007 and was last updated on 10/31/2019.

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	363L00000X	Nurse Practitioner		A003059	ARKANSAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	ATP-000116	ARKANSAS	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	ATP000116	OTHER	ARKANSAS	LICENSE

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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