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NPI Code Detail

MEDICARE: DANIELLE GRAFF LPN

MEDICARE: DANIELLE GRAFF LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse67230OK

General Provider Information

NPI Number : 1124665153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE GRAFF LPN
Provider Business Mailing Address
First Line : 1737 LINWOOD BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-5037
Country : US
Telephone Number : 405-239-6815
Fax Number :
Provider Business Practice Location Address
First Line : 1737 LINWOOD BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-5037
Country : US
Telephone Number : 405-239-6815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2019
Last Update Date : 12/10/2019

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