Provider Demographics
NPI:1336299726
Name:GRAHAM, RACHEL (RN)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 ONYX CT
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-7530
Mailing Address - Country:US
Mailing Address - Phone:972-216-0283
Mailing Address - Fax:972-329-9827
Practice Address - Street 1:504 ONYX CT
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7530
Practice Address - Country:US
Practice Address - Phone:972-216-0283
Practice Address - Fax:972-329-9827
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011244163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health