Provider Demographics
NPI:1891412128
Name:GRAHAM, RACHEL ALEXANDRA (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ALEXANDRA
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5131 HANAWAI ST APT F
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-8805
Mailing Address - Country:US
Mailing Address - Phone:808-269-7900
Mailing Address - Fax:
Practice Address - Street 1:305 KEAWE ST STE 507
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-2734
Practice Address - Country:US
Practice Address - Phone:808-667-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily