| Mrs Teresa Kem Graham, CNP | |
|
8765 Lewis Ave, Temperance, MI 48182-9583 | |
| (734) 847-3802 | |
| (734) 847-3418 |
| Full Name | Mrs Teresa Kem Graham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8765 Lewis Ave, Temperance, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467582197 | NPI | - | NPPES |
| 54924 | Other | MI | HEALTH PLAN OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-09190 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704198775 (Michigan) | Primary |
| Entity Name | Stafford Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679542021 PECOS PAC ID: 4486678901 Enrollment ID: O20060123000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Teresa Kem Graham, CNP 225 Riverside Ave, Adrian, MI 49221-1539 Ph: (517) 263-1800 | Mrs Teresa Kem Graham, CNP 8765 Lewis Ave, Temperance, MI 48182-9583 Ph: (734) 847-3802 |
Amy Altamash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7443 Jackman Rd, Temperance, MI 48182 Phone: 734-850-0100 Fax: 734-850-0112 | |
Ms. Laurie Ann Fry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-847-3418 | |
Rebecca Elizabeth Fant, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Hickory Creek Dr, Temperance, MI 48182 Phone: 734-206-8200 | |
Kathleen V Vanetten, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7443 Jackman Rd, Temperance, MI 48182 Phone: 734-850-0100 Fax: 734-850-0112 | |
Kerri Easton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6785 Rutland Rd, Temperance, MI 48182 Phone: 734-347-8891 | |
Mrs. Jenna Elizabeth Klump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9050 Lewis Ave, Temperance, MI 48182 Phone: 734-850-8902 |