Renee Ann Graham, MSN, APRN, AGACNP-BC
Nurse Practitioner, Acute Care in Willimantic, CT. Individual provider (NPI-1).
NPI number1982147740
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1982147740
- Entity type
- Individual (NPI-1)
- Name
- Ms. Renee Ann Graham
- Credential
- MSN, APRN, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2016
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 6842 | CT | Yes |
Practice location
6 Storrs Rd Ste 4Willimantic, CT 06226-4006
Phone 860-390-4590
Mailing address
6 Storrs Rd Ste 4Willimantic, CT 06226-4006
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