Individual
CYNTHIA K GRANDJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CANP
Contact information
Practice address
10845 TOWN CENTER BLVD STE 204, DUNKIRK, MD 20754-2712
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R090914
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919654400
—
MD
Enumeration date
07/07/2006
Last updated
07/21/2022
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