MRS. DIYONG S GRAHAM


Address: 2812 Tremont St, Philadelphia, PA 19136-1025
Phone: 2159394973

MRS. DIYONG S GRAHAM (NPI# 1144820622) 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) 1144820622
Entity Type Individual
Full Name MRS. DIYONG S GRAHAM
Credential CRNP
Practice Address 2812 Tremont St
Philadelphia
PA 19136-1025
Practice Telephone 2159394973
Mailing Telephone 2159394973
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP022699 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2812 TREMONT ST
City PHILADELPHIA
State PA
Zip Code 19136-1025

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1063932069 Rachel Alexa Allen Counselor 3254 Teesdale Street, Philadelphia, PA 19136 2017-06-21
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1932657715 Janice Lisette Frisby Counselor 8454 Jackson Street, Philadelphia, PA 19136 2016-09-21
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750910808 Alpha Integrated Clinic Nurse Practitioner 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 2020-04-01
1427681394 Hwayoung Kim Nurse Practitioner 315 New St Apt 403, Philadelphia, PA 19106-1135 2020-02-19
1205306545 Vadim Selyukov Nurse Practitioner 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 2018-11-29
1619420940 Bridget Mccoy Nurse Practitioner 4929 Cedar Ave, Philadelphia, PA 19143-2013 2016-08-03
1003265489 Stephanie Hand Nurse Practitioner 2409 Bainbridge St, Philadelphia, PA 19146-1014 2016-06-07
1679929095 Michelle Marowitz Nurse Practitioner 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 2016-05-05
1366834855 Mary Morris Nurse Practitioner 1538 S 56th St, Philadelphia, PA 19143-4737 2015-02-20
1174920086 Frances Garbarino Nurse Practitioner 501 S 53rd St, Philadelphia, PA 19143 2014-11-21
1033551130 Mollie Evelyn Wilson Nurse Practitioner 5820 W Girard Ave, Philadelphia, PA 19131-4850 2013-07-18
1992819353 Jo Ann Elizabeth Seppelt Nurse Practitioner University and Woodland Aves, Philadelphia, PA 19104 2006-08-19
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Competitor

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City PHILADELPHIA
Zip Code 19136

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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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