NPI 1093315095

Shana P Graham, CERTIFIEDNURSINGAI

Practitioner Adult Care Home Facility Indianapolis, IN

Practice location

Address: 8308 E 11th St, Indianapolis, IN 46219-4003
Phone: (317) 531-1550

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1093315095
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.