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MS. NICOLE ANISE GRAHAM LPN
NPI 1356853451
Licensed Practical Nurse in Medford, NY

Active since October 30, 2017
37 MATSUNAYE DR, MEDFORD, NY 11763(631) 394-1357 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nicole Anise Graham Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE ANISE GRAHAM LPN (NPI 1356853451) is an individual licensed practical nurse in Medford, New York, licensed in New York (330386) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1356853451
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. NICOLE ANISE GRAHAMCredential: LPN
Location Address37 MATSUNAYE DRMedford, NY 11763-4112
Mailing Address37 Matsunaye DrMedford, NY 11763-4112 · (631) 394-1357
Phone(631) 394-1357
Sole ProprietorYes
Enumeration DateOctober 30, 2017
✔ NPI 1356853451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 330386
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
37 MATSUNAYE DR, Medford, NY 11763
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Graham's NPI number?

The NPI number for Nicole Graham is 1356853451. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Nicole Graham located?

Nicole Graham practices at 37 Matsunaye Dr, Medford, NY 11763. The listed phone number is (631) 394-1357.

What is Nicole Graham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Graham was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.