Provider Demographics
NPI:1376942060
Name:GRAHAM, ESTER MAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ESTER
Middle Name:MAE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ESTER
Other - Middle Name:MAE
Other - Last Name:HARRIS (MAIDEN)
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:520 FIELDSTONE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080
Mailing Address - Country:US
Mailing Address - Phone:205-960-5527
Mailing Address - Fax:
Practice Address - Street 1:520 FIELDSTONE DRIVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080
Practice Address - Country:US
Practice Address - Phone:205-960-5527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRN1-021676163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health