MISS ELIZABETH CLARE GRAHAM


Address: 3100 Channel Drive, Southeast Alaska Regional Health Consortium, Juneau, AK 99801-0000
Phone: 9074634012

MISS ELIZABETH CLARE GRAHAM (NPI# 1003183252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003183252
Entity Type Individual
Full Name MISS ELIZABETH CLARE GRAHAM
Credential FNP-C
Practice Address 3100 Channel Drive
Southeast Alaska Regional Health Consortium
Juneau
AK 99801-0000
Mailing Address 3100 Channel Dr
Southeast Alaska Regional Health Consortium
Juneau
AK 99801-7837
Practice Telephone 9074634012
Mailing Telephone 8056805185
Enumeration Date 2011-11-16
Last Update Date 2016-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
609376 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 3100 CHANNEL DRIVE
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
City JUNEAU
State AK
Zip Code 99801-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629380357 Marsha Sibley Community Health Worker 3100 Channel Drive, Juneau, AK 99801 2010-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225652407 Juneau Youth Services, Inc. Community/Behavioral Health 1600 Renninger St, Juneau, AK 99801 2020-06-03
1316561590 Juneau Youth Services, Inc. Community/Behavioral Health 2901 Riverside Dr, Juneau, AK 99801 2020-06-03
1366066540 Juneau Youth Services, Inc. Community/Behavioral Health 3400 Tongass Blvd, Juneau, AK 99801 2020-06-03
1134743313 Juneau Youth Services, Inc. Community/Behavioral Health 3800 Mendenhall Lp Rd, Juneau, AK 99801 2020-06-03
1235753419 Juneau Youth Services, Inc. Community/Behavioral Health 9001 Mendenhall Lp Rd, Juneau, AK 99801 2020-06-03
1043834245 Juneau Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10685 Mendenhall Loop Rd, Juneau, AK 99801 2020-06-03
1295359511 Juneau Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10801 Black Bear Rd, Juneau, AK 99801 2020-06-02
1700400033 Juneau Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10685 Mendenhall Lp Rd, Juneau, AK 99801 2020-06-02
1831733351 Monalisa Vaolete Lauofo Counselor 5594 Aisek Street, Juneau, AK 99801 2019-10-29
1245873033 Ryan Isadore Counselor 1613 Anka Street, Juneau, AK 99801 2019-10-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1689024051 Juneau Quick Care Nurse Practitioner 1015 Edwin Pl, Juneau, AK 99801-9553 2016-06-16
1336406149 Zelda Swain Nurse Practitioner 641 W Willoughby Ave Ste 201, Juneau, AK 99801-1748 2012-04-18
1316058720 Matthew Jon Jones Nurse Practitioner 3220 Hospital Dr Ste 100, Juneau, AK 99801-7899 2006-08-31
1245287861 Justine Emerson Nurse Practitioner 1801 Salmon Creek Ln, Juneau, AK 99801-7864 2006-05-28
1104476282 Bailey Alexandra Rahn Nurse Practitioner 1801 Salmon Creek Ln, Juneau, AK 99801-7864 2019-09-19
1033605175 Kaitlyn Bausler Nurse Practitioner 641 W Willoughby Ave Ste 201, Juneau, AK 99801-1748 2018-07-01
1376038752 Christina D Benge Nurse Practitioner 8505 Old Dairy Rd, Juneau, AK 99801-6921 2018-06-27
1093239279 Holly Ann Graber Nurse Practitioner 420 W North St, Juneau, WI 53039-1165 2017-07-31
1437671039 Sarah Keeley Sjostedt Nurse Practitioner 1801 Salmon Creek Ln, Juneau, AK 99801-7864 2017-07-14
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Competitor

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City JUNEAU
Zip Code 99801

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Dataset Information

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.

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