Individual
ANDREA GRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1620 HOSPITAL DR, SANTA FE, NM 87505-4754
(505) 913-4901
Mailing address
1620 HOSPITAL DR, SANTA FE, NM 87505-4754
(505) 913-4901
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56915
NM
Other
Enumeration date
07/12/2019
Last updated
03/18/2026
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