MARIE A GRAHAM (NPI# 1881878064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881878064 |
| Entity Type | Individual |
| Full Name | MARIE A GRAHAM |
| Credential | APN |
| Practice Address |
636 West Broadway St No Little Rock AR 72114 |
| Practice Telephone | 5013741153 |
| Practice Fax Number | 5013746213 |
| Mailing Telephone | 5013741153 |
| Mailing Fax Number | 5013746213 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A003059 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ATP-000116 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LICENSE | ATP000116 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962441642 | Marie E Graham | Family Medicine | 3400 Garrett Rd, Suite A, Drexel Hill, PA 19026-2940 | 2006-06-06 |
| Street Address |
636 WEST BROADWAY ST |
| City | NO LITTLE ROCK |
| State | AR |
| Zip Code | 72114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1902012297 | Lee Overall | Kinesiotherapist | 2200 Ft Roots Rd, Little Rock, AR 72114 | 2007-05-15 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538285 | Matthew Barnett | Nurse Practitioner | 63 Dalton Dr, Cave City, AR 72521-9308 | 2020-11-05 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1528691912 | Rachel Wetherington | Nurse Practitioner | 9501 Baptist Health Dr Ste 500, Little Rock, AR 72205-6225 | 2020-02-13 |
| 1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1366089740 | Katelyn Layne Ledbetter | Nurse Practitioner | 8 Summerwood Dr, Benton, AR 72019-1925 | 2019-12-05 |
| 1588213771 | Wendy Joanne Hart | Nurse Practitioner | 601 W Maple Ave Ste 703, Springdale, AR 72764-5378 | 2019-09-10 |
| 1235796145 | Nickey Noid | Nurse Practitioner | 1709 Cedar Dr, Bryant, AR 72019-6378 | 2019-05-26 |
| 1083175848 | Lisa Renee Bridges | Nurse Practitioner | 423 Magnolia St, Marion, AR 72364-2811 | 2019-03-26 |
| 1922566785 | Amanda Mcclure | Nurse Practitioner | 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
| City | NO LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on MARIE A GRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.