National Provider Identifier Database

CLEO D GRAHAM, R.N.P – NPI #1003947086
Diabetes Educator


Contact Information

CLEO D GRAHAM, R.N.P
111 HOWLAND AVE
EAST PROVIDENCE, RI02914-3054
Phone: 401-438-6609
Fax:
Website:
Specialty Taxonomy Code
* Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for CLEO D GRAHAM

NPI Number 1003947086
Credentials R.N.P
Entity Individual
Enumeration date 03/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • RI License #: NPP23079
  • RI License #: RN23079
  • RI Other: 410545 BLUE CHIP
  • RI Other: 22916-4 BLUE CROSS BLUE SHIELD
  • RI Other: 28451 NEIGHBORHOOD HEALTH PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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