Individual
MRS. GEORGIA LOUISE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6900 EAST 47TH AVENUE DRIVE, SUITE 100, DENVER, CO 80216-3449
(303) 333-4411
(303) 333-8719
Mailing address
6900 EAST 47TH AVENUE DRIVE, SUITE 100, DENVER, CO 80216-3449
(303) 333-4411
(303) 333-8719
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
27726
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27726
LICENSE
CO
Enumeration date
03/15/2012
Last updated
03/15/2012
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