Provider Demographics
NPI:1982927885
Name:GRAHAM, DONALD GEORGE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:GEORGE
Last Name:GRAHAM
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:332 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3750
Mailing Address - Country:US
Mailing Address - Phone:412-578-7992
Mailing Address - Fax:412-578-8339
Practice Address - Street 1:332 GREENWAY DR
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-3750
Practice Address - Country:US
Practice Address - Phone:412-578-7992
Practice Address - Fax:412-578-8339
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily