Doctor Name: | CAROL ANN GRAFF |
NPI Number: | 1174826697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 195642-4405 |
Business Practice Address: | 1886 W 800 N Pleasant Grove, UT - 840624097 |
Business Phone Number: | 8014298000 |
Business Fax Number: | |
Mailing Address: | 1055 N 500 W, PROVO |
State: | UT |
Postal Code: | 846043305 |
Phone Number: | 8013548225 |
Fax Number: | 8014180941 |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 195642-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |