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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ANGELA D GRAHAM, CPNP-AC

Active

MRS. ANGELA D GRAHAM, CPNP-AC is a Nurse Practitioner healthcare provider located in CANTON, Illinois. NPI 1902105760 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CANTON, IL

Registration Details

NPI Number
1902105760
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2011 (15.369626293476 yrs)
Last Updated
Mar 12, 2021
Licenses
209008727 (IL)
209008727 (IL)

Practice Information

Address
210 W WALNUT ST
CANTON, IL, 615202497
Browse IL providers · Browse ZIP 61520
Phone
3096475240
Fax
3096495128
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CANTON, IL

Name Credential NPI
ABBY A PUTNAM CFNP 1356450142
LYNETTE EETEN APN 1902276207
STEPHANIE BARNES APN 1265890685
BREANN SHALENE FARR NP-C 1699204750
CODY J. GIBBS NP-C 1205335510
REBEKAH J RIDGEWAY CFNP 1366911497
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.