Individual
MS. VICTORIA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
262 SOUTH HOLLAND ROAD, HOLMDEL, NJ 07733-1871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR22568300
NJ
367500000X
Certified Registered Nurse Anesthetist
751500
NY
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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