Individual
MRS. TERESA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., NP-C
Contact information
Practice address
1150 SPRINGFIELD AVENUE, IRVINGTON, NJ 07111
(973) 399-6292
Mailing address
15 REMBRANDT WAY, EAST WINDSOR, NJ 08520-2990
(609) 443-1005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305381-1
NY
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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