Individual
ELIZABETH GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2970
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.15723-NP
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
5015167
NC
Other
Enumeration date
03/11/2014
Last updated
01/06/2022
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