Individual
PAULA GRANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 PARKWAY, HAVERHILL, MA 01830-6278
(978) 521-3230
(978) 521-3256
Mailing address
1 PARKWAY, HAVERHILL, MA 01830-6278
(978) 521-3230
(978) 521-3256
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
124651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2636
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/30/2005
Last updated
07/08/2007
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