IndividualActive
Lavonna Graham, CNA
NPI 1679188684 · Nurse's Aide · Beckley, WV
Provider details
- NPI number
- 1679188684
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 76652 (WV)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
130 George St
Beckley, WV 25801-2648
Phone: (304) 929-2669
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 585
Fairdale, WV 25839-0585
Registry dates
- Enumerated
- 2020-09-15
- Last updated
- 2020-09-15
- Certified
- 2020-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.