Individual provider · NPI-1

Sharon Graff, C.N.P

Nurse Practitioner, Family · Livonia, MI

NPI number1275513004

StatusActive

Last updated in NPPESFeb 11, 2020

Details

NPI: 1275513004
Entity type: Individual (NPI-1)
Name: Sharon Graff
Credential: C.N.P
Sex: Female
Sole proprietor: Yes
Enumeration date: Jan 18, 2006
Certification date: Feb 11, 2020
Last updated: Feb 11, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	NP-06602	OH	Yes
163WG0000X	Registered Nurse, General Practice	RN. 153276	OH

Practice location

36115 Schoolcraft Rd
Livonia, MI 48150-1216

Phone 734-464-0887 · Fax 734-402-0254

Mailing address

118 E Indiana Ave
Maumee, OH 43537-2826

Phone 419-794-3026 · Fax 419-794-3006

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