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Individual

LAUREL RUTH GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(301) 533-3299
Mailing address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(301) 533-3299

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RO65152
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062402100
MD
05
7102051000
WV
Enumeration date
09/16/2006
Last updated
07/14/2011
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