Individual
MISS SUSAN JANE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
707 N. ALVERNON WAY, SUITE 101, TUCSON, AZ 85711
(520) 694-8888
(520) 694-1640
Mailing address
1075 E FORT LOWELL RD, TUCSON, AZ 85719-2159
(520) 327-4505
(520) 202-1707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP3591
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3591
AZ
Other
Enumeration date
02/04/2009
Last updated
10/23/2023
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