Individual
CASEY PAUL GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, MSN, APRN
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 904-7609
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.029954
IL
Other
Enumeration date
07/01/2024
Last updated
09/23/2024
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