Individual
GEORGEANNA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 W MAIN ST FL 2, DANVILLE, KY 40422-1812
(859) 236-3726
(859) 236-3019
Mailing address
PO BOX 27766, BELFAST, ME 04915-2029
(888) 488-8289
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
3004763
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3004763
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100564260
—
KY
Enumeration date
09/07/2016
Last updated
05/20/2022
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