Individual
ADELA ANNETTE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 450-9000
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP137222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385106501
—
TX
01
—
385106502
CSHCN
TX
Enumeration date
04/04/2018
Last updated
08/02/2018
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