Individual
MRS. MAYCIE LORAE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316-7712
(701) 477-6111
Mailing address
1300 HOSPITAL LOOP, BELCOURT, ND 58316-7712
(701) 477-6111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201017
ND
Other
Enumeration date
11/12/2024
Last updated
06/02/2025
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