NPI 1831327261

Nicole Danielle Graham

Practitioner Homeopath Tampa, FL

Practice location

Address: 5101 N Armenia Ave, Tampa, FL 33603-1405
Phone: (813) 374-2105
Mailing address: 23398 Lanett St, Brooksville, FL 34601-7714

Registered specialties

Homeopath Primary

Other Service Providers Taxonomy 175L00000X Licence MA55822 (FL)

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Registry record

NPI: 1831327261
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2009
Record last updated: 24 Jun 2009

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.