Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indica Graham

Individual provider Licensed Practical Nurse · NPI 1942031679

Indica Graham is a Licensed Practical Nurse in Berea, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

202 E Bagley Rd
Berea, OH 44017-2058
Phone: (440) 234-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.179472.MEDS-IV (OH)

Record details

NPI number1942031679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address343 W Bagley Rd, Berea, OH 44017-1370

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