Individual
LORRAINE WINDRIDGE GRANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2709 ROBINSON PARK RD, MOSCOW, ID 83843-5022
(772) 285-3457
Mailing address
2709 ROBINSON PARK RD, MOSCOW, ID 83843-5022
(772) 285-3457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2568052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079228-00
—
FL
01
—
430065561
RR MEDICARE
FL
01
—
G2912
BCBS OF FLORIDA
FL
Enumeration date
08/12/2006
Last updated
08/28/2008
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