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NPI Code Detail

MEDICARE: MRS. DANA ARMAND GRAHAM FNP-C

MEDICARE: MRS. DANA ARMAND GRAHAM FNP-C
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
1363LF0000XFamily Nurse PractitionerAP09362LA
2363LF0000XFamily Nurse Practitioner31007SC

General Provider Information

NPI Number : 1205353661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA ARMAND GRAHAM FNP-C
Provider Business Mailing Address
First Line : 11402 ANDERSON RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-7557
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11402 ANDERSON RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-7557
Country : US
Telephone Number : 864-631-2799
Fax Number : 864-522-1215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2017
Last Update Date : 01/20/2026

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