Provider Demographics
NPI:1417027293
Name:GRAF, CHERYL A (ARNP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:GRAF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 OLYMPIC DR
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1487
Mailing Address - Country:US
Mailing Address - Phone:253-858-7444
Mailing Address - Fax:
Practice Address - Street 1:5500 OLYMPIC DR
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1487
Practice Address - Country:US
Practice Address - Phone:253-858-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003943363L00000X
ID66473363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0204136OtherL&I
GR6201OtherREGENCE
WA330606OtherSTATE L&I
WA9619230Medicaid
GR6201OtherREGENCE
WA9619230Medicaid
WAG8925594Medicare PIN