Doctor Name: | MICHELLE DORSEY GRAF |
NPI Number: | 1023422482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024171747 |
Business Practice Address: | 2500 Charles St Fredericksburg, VA - 224013312 |
Business Phone Number: | 5403748140 |
Business Fax Number: | |
Mailing Address: | 2500 Charles St, FREDERICKSBURG |
State: | VA |
Postal Code: | 224013312 |
Phone Number: | 5407202126 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024171747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |