Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TISHA GRAHAM, CPM, ICBD, ICCE, CLC
ActiveMS. TISHA GRAHAM, CPM, ICBD, ICCE, CLC is a Midwife healthcare provider located in ROUND LAKE, New York. NPI 1952099376 is currently active in the NPPES registry. Verify at CMS.
Midwife · ROUND LAKE, NY
Registration Details
- NPI Number
- 1952099376
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2023 (3.343162511789 yrs)
- Last Updated
- Apr 25, 2023
- License
-
107.0085724 (VT)
Practice Information
- Address
-
40 WASHINGTON AVENUEROUND LAKE, NY, 12151Browse NY providers · Browse ZIP 12151
- Phone
- 5183662159
- Primary Specialty
-
Midwife
176B00000X
- Additional Specialty
- Doula
- Additional Specialty
- Midwife
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.