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DAVIS MICHAEL GRAHAM PH.D., RN, CNP
NPI 1720331143
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN

Active since October 23, 2012
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404(612) 638-0700(612) 638-0685 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davis Michael Graham Ph.d., Rn, Cnp NPPES

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

DAVIS MICHAEL GRAHAM PH.D., RN, CNP (NPI 1720331143) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (R 189172-6) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1720331143
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVIS MICHAEL GRAHAMCredential: PH.D., RN, CNP
Location Address2001 BLOOMINGTON AVEMinneapolis, MN 55404-3074
Mailing Address2001 Bloomington AveMinneapolis, MN 55404-3074 · (612) 638-0700 · Fax (612) 638-0685
Phone(612) 638-0700
Fax(612) 638-0685
Sole ProprietorNo
Enumeration DateOctober 23, 2012
Last NPPES UpdateOctober 24, 2012
✔ NPI 1720331143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · R 189172-6
2001 BLOOMINGTON AVE, Minneapolis, MN 55404
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA GRUND MSW, LICSW
Social Worker (Clinical)
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 301-0880
MOLLIE A MCFAGGEN PHARMD
Pharmacist
2001 BLOOMINGTON AVE, COMMUNITY UNIVERSITY HEALTH CARE CENTER
MINNEAPOLIS, MN 55404
Hennepin County (612) 638-0700
EMILY KATE OTTESON BAN, RN, PHN
Student in an Organized Health Care Education/Training Program
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 301-3433
BRENDA BECK REITER NP
Nurse Practitioner (Women's Health)
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 638-0700
DR. MICHELE LEE ALLEN M.D.
Family Medicine
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 638-0700
LAN PARKER LUU M.D., M.P.H.
Internal Medicine
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 301-3433
ANDREA CHARLOTTE DAVIS APRN
Nurse Practitioner (Family)
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 301-3433
MICHAEL J AYLWARD M.D.
Internal Medicine
2001 BLOOMINGTON AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 638-0700

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 Davis Graham's NPI number?

The NPI number for Davis Graham is 1720331143. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Davis Graham located?

Davis Graham practices at 2001 Bloomington Ave, Minneapolis, MN 55404. The listed phone number is (612) 638-0700.

What is Davis Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Davis Graham was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.