Individual
JAN GRANTHAM
Active
Individual
JAN GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
81685
CO
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
APN.0005831-CNS
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99150760
—
CO
Enumeration date
11/20/2008
Last updated
10/15/2018
Update your record
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