Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANDREA GRAHAM, MSW
Active Sole ProprietorTANDREA GRAHAM, MSW is a Community Health Worker healthcare provider located in PETERSBURG, Virginia. NPI 1740889872 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · PETERSBURG, VA
Registration Details
- NPI Number
- 1740889872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2020 (5.8110016683983 yrs)
- Last Updated
- Oct 20, 2020
- License
-
3442 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
628 OLD WAGNER RDPETERSBURG, VA, 238059319Browse VA providers · Browse ZIP 23805
- Phone
- 8046056146
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| NITA VIANN RANDOLPH DAVISON | — | 1174934921 |
| RUSSELL BLAND | — | 1598621203 |
| JOHN SHAQUILLE POITIER | — | 1639035710 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.