Provider Demographics
NPI:1043018476
Name:GRAHAM, ZOE
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:ZONELLA
Other - Middle Name:
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60189
Mailing Address - Street 2:5319
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73146
Mailing Address - Country:US
Mailing Address - Phone:580-380-6922
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 60189
Practice Address - Street 2:5319
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73146
Practice Address - Country:US
Practice Address - Phone:580-380-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator