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Individual
SUNNY RAE GRANGER
Active
Individual
SUNNY RAE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN675216
PA
367A00000X
Advanced Practice Midwife
CNM04493
PA
367A00000X
Advanced Practice Midwife
LK-0010231
DE
367A00000X
Advanced Practice Midwife
Primary
R232015
MD
Other
Enumeration date
01/19/2018
Last updated
02/13/2024
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