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Individual
SANDRA LYNN GRANT
Active
Individual
SANDRA LYNN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
616710
TX
363LF0000X
Family Nurse Practitioner
AP112706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144428100
FIRST CARE
TX
05
—
164669701
—
TX
01
—
8N7015
BLUE CROSS
TX
01
—
AP112706
APRN LICENSE NUMBER
TX
Enumeration date
08/19/2006
Last updated
07/26/2016
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