Coleen Fenna Graham, RN is a
Registered Nurse - Home Health based in Bristol, Wisconsin. Coleen Fenna Graham is licensed to practice in Wisconsin (license number 21327922) and her current practice location is
12940 79th Pl, Bristol, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(801) 380-3159.
NPI number for Coleen Fenna Graham is 1952297541 and her current mailing address is 12940 79th Pl, Bristol, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952297541.
Provider's Profile
Full Name | Coleen Fenna Graham |
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Gender | Female |
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Speciality | Registered Nurse - Home Health |
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Location | 12940 79th Pl, Bristol, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952297541
- Provider Enumeration Date: 06/18/2025
- Last Update Date: 06/18/2025
Medical Identifiers
Medical identifiers for Coleen Fenna Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952297541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 21327922 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coleen Fenna Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Coleen Fenna Graham, RN 12940 79th Pl, Bristol, WI 53104-8922 Ph: (801) 380-3159 | Coleen Fenna Graham, RN 12940 79th Pl, Bristol, WI 53104-8922 Ph: (801) 380-3159 |
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