Individual
MISS ANITA GRANTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 PARKMAN DR, BEAR, DE 19701-4954
(302) 561-5160
Mailing address
3565 MYNDERS AVE APT 228A, MEMPHIS, TN 38111-1647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0042251
DE
367500000X
Certified Registered Nurse Anesthetist
AC004184
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00805
DE
Other
Enumeration date
04/05/2019
Last updated
08/14/2023
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