Individual
GRANT BRADFORD MCCONAUGHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1832 MORNINGVIEW LN, CASTLE ROCK, CO 80109-3641
(303) 660-2568
Mailing address
1832 MORNINGVIEW LN, CASTLE ROCK, CO 80109-3641
(561) 797-8839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
190972
CO
363LF0000X
Family Nurse Practitioner
4704383251
MI
363LF0000X
Family Nurse Practitioner
Primary
APN.0996865-NP
CO
Other
Enumeration date
10/09/2009
Last updated
12/06/2021
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