Individual
MS. RENEE GRANDIERI-FLUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
2780 HOMESTEAD RD, PAHRUMP, NV 89048-5399
(775) 727-7959
Mailing address
181 CHEVRON ST, PAHRUMP, NV 89048-6727
(702) 544-9634
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APN00193
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184657702
—
NV
01
—
APRN00193
STATE LICENSE
NV
Enumeration date
07/08/2006
Last updated
01/12/2024
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