| Kristy Graham, FNP-BC | |
|
23838 Pacific Coast Hwy Unit 752, Malibu, CA 90265-1441 | |
| (805) 975-7007 | |
| Not Available |
| Full Name | Kristy Graham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 23838 Pacific Coast Hwy Unit 752, Malibu, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134749898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95014412 (California) | Primary |
| Entity Name | Los Robles Emergency Physicians Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Daphne I Panagotacos Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295999274 PECOS PAC ID: 6406910777 Enrollment ID: O20090131000059 |
| Entity Name | Mareeni T Stanislaus Md A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922523943 PECOS PAC ID: 7618233438 Enrollment ID: O20171113000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Graham, FNP-BC 23838 Pacific Coast Hwy Unit 752, Malibu, CA 90265-1441 Ph: (805) 975-7007 | Kristy Graham, FNP-BC 23838 Pacific Coast Hwy Unit 752, Malibu, CA 90265-1441 Ph: (805) 975-7007 |
Yewande Salamotu Sanusi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7214 Birdview Ave, Malibu, CA 90265 Phone: 424-388-2980 | |
Kristen Hjelmhaug, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2903 Valmere Dr, Malibu, CA 90265 Phone: 408-340-3123 | |
Nicole Eloff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23661 Pacific Coast Hwy, Malibu, CA 90265 Phone: 310-456-1603 | |
Chanel Christine Ferrante, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23661 Pacific Coast Hwy, Malibu, CA 90265 Phone: 310-456-1603 Fax: 310-456-5697 |