Most Relevant Information
Provider Data
| NPI Number: | 1003183252 |
| Provider Name: | ELIZABETH CLARE GRAHAM FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 609376 |
Most Important Dates
| Enumeration Date: | 11/16/2011 |
| Last Updated: | 02/10/2016 |
Provider Practice Location
3100 CHANNEL DRIVE
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
JUNEAU
AK
998010000
Practice Location Phone/Fax
| Phone: | 9074634012 |
| Fax: |
Provider Mailing Location
3100 CHANNEL DR
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
JUNEAU
AK
998017837
Provider Mailing Phone/Fax
| Phone: | 8056805185 |
| Fax: |