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Individual
TANISHA GRANT
Active
Individual
TANISHA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140786
TX
363LA2100X
Acute Care Nurse Practitioner
AP140786
TX
363LF0000X
Family Nurse Practitioner
AP140786
TX
Other
Enumeration date
04/15/2019
Last updated
04/15/2023
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