Individual
MS. LINDA M GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CPNP
Contact information
Practice address
7211 PRESTON RD STE 1200, PLANO, TX 75024
(214) 456-9250
Mailing address
7211 PRESTON RD STE 1200, PLANO, TX 75024-0238
(214) 456-9250
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
709340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171432101
—
TX
Enumeration date
11/13/2006
Last updated
08/29/2018
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