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Individual
MARQUITA GRANDA
Active
Individual
MARQUITA GRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201603089NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60733123
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202009723NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN1837
HI
363LP2300X
Primary Care Nurse Practitioner
APRN1837
HI
Other
Enumeration date
12/05/2014
Last updated
04/12/2022
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