Individual
SAMUEL PAUL GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-4000
Mailing address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4799
(301) 295-9004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
325562
AZ
Other
Enumeration date
05/04/2022
Last updated
07/02/2025
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