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Individual

DANIELLE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, FNP-BC

Contact information

Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
7521 BALEEN CT, GLEN BURNIE, MD 21061-9503

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
R246461
MD
163WX1500X
Ostomy Care Registered Nurse
R246461
MD
363LF0000X
Family Nurse Practitioner
Primary
R246461
MD

Other

Enumeration date
03/27/2025
Last updated
03/27/2025
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