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Angelita L Graf

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

This provider is enrolled in PECOS as ANGELITA GRAF.

Based on the most recent information from CMS, provider Angelita L Graf is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1801948542
Provider Type
Individual
Full Name
Graf, Angelita L
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
1/16/2007
Last Updated
8/10/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(610) 401-5745

Unlisted Fax

Mailing Location

1721 Cottonwood Grove Rd, Dumfries, VA 22026-3062

(808) 291-5847

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN-734 Hawaii

Angelita L Graf

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Katamba, Sarah Janet

Atkinson, Alysia

Johnson, Christie E

York, Dara Newsome

Depas, Shelby A

Nicholas, Jean L

Daiuto, Lauren

Deal, Megan Mosley

Tedford, Abby Gail

Pennicooke, Denise