Individual
DR. DESTINY R. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., APRN
Contact information
Practice address
1952 WHITNEY AVE, FL 3, HAMDEN, CT 06517
(203) 848-1803
Mailing address
134 SANFORD ST, HAMDEN, CT 06514-1700
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
5.000726
CT
363LF0000X
Family Nurse Practitioner
Primary
12.013399
CT
Other
Enumeration date
02/14/2023
Last updated
01/23/2025
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