Individual
ELIZABETH ANN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1218 RTE 17E, ENTER YOUR MAILING ADDRES, ADDISON, VT 05491
(802) 922-4401
Mailing address
1218 VT ROUTE 17 E, ADDISON, VT 05491-8621
(802) 759-2067
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
026.0016175
VT
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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