Sasha Graham, NP Valid NPI
Individual provider · Nurse Practitioner · Fort Bragg, CA
- NPI
- 1124127600
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 12527 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-09-21
- Last updated
- 2007-07-08
Practice location
721 River Drive, Suite A
Fort Bragg, CA 95437
(707) 964-7241