Individual
CATRINA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2624 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-8220
(602) 304-3170
Mailing address
2624 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-8220
(602) 304-3170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054805
AZ
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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