Individual
MS. TERRA J GRANDMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
209 LILLY RD NE # B, OLYMPIA, WA 98506-5030
(360) 413-8250
(360) 413-8830
Mailing address
209 LILLY RD NE # B, OLYMPIA, WA 98506-5030
(360) 413-8250
(360) 413-8830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007907
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054720
—
WA
Enumeration date
10/23/2007
Last updated
01/16/2024
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