Individual
EDNA G GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
4830 N.W. 73RD ST, CHIEFLAND, FL 32626-5301
(352) 493-0232
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001053233
VA
163WG0000X
General Practice Registered Nurse
Primary
RN9244383
FL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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