Individual
ANJETTA GRANVINETTA ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2420 KINGSBURY DR, TEMPLE, TX 76502-7321
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP125673
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP125673
TX
363LG0600X
Gerontology Nurse Practitioner
AP125673
TX
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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