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Individual

DR. R. DAILEY GRAINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., ARNP, B.C.

Contact information

Practice address
83266 OVERSEAS HWY, SUITE 500, ISLAMORADA, FL 33036-3520
(305) 393-3600
(305) 664-5350
Mailing address
156 BISCAYNE BLVD, ISLAMORADA, FL 33036-4125
(305) 393-3600
(305) 664-5350

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
187132
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
187132
ARNP LICENSE NUMBER
FM
01
Y2278A
MEDICARE/BCBS #
FL
Enumeration date
09/25/2006
Last updated
07/08/2007
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