Individual
LINDA J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15 OBOLD RD, BERNVILLE, PA 19506-8214
(610) 488-7981
Mailing address
3639 E VIEW DR, OREFIELD, PA 18069-2034
(610) 428-1544
(610) 395-9336
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN176532L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012410200001
—
PA
Enumeration date
06/27/2005
Last updated
05/30/2008
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