Provider Demographics
NPI:1639399090
Name:GRAFF, ANNE PATRICIA (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:PATRICIA
Last Name:GRAFF
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15601 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-1461
Mailing Address - Country:US
Mailing Address - Phone:517-485-6382
Mailing Address - Fax:
Practice Address - Street 1:26811 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-4075
Practice Address - Country:US
Practice Address - Phone:586-755-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704162784363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner