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Individual

TINA GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
1265 S BROADWAY, DENVER, CO 80210-1503
(303) 894-0144
Mailing address
10187 W 52ND PL UNIT 306, WHEAT RIDGE, CO 80033-6842
(720) 837-9110

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
996196
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
996196
CO

Other

Enumeration date
10/18/2021
Last updated
10/19/2022
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