Doctor Name: | KATHI GRAFE |
NPI Number: | 1417350042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | RN276765 |
Business Practice Address: | 16 Waterhouse Rd Bourne, MA - 025323897 |
Business Phone Number: | 5087597279 |
Business Fax Number: | 5088887553 |
Mailing Address: | 28 Turtle Brook Rd, CANTON |
State: | MA |
Postal Code: | 020212776 |
Phone Number: | 5087597279 |
Fax Number: | 5088887553 |
NPI Enumeration Date: | 09/26/2014 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | RN276765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |