Individual
MORGAN ROSE GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(860) 944-4971
Mailing address
619 GINGERMILL LN, LEXINGTON, KY 40509-1917
(860) 944-4971
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
3013509
KY
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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