Individual
EMILY ANN GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2845 44TH ST SW STE 200, GRANDVILLE, MI 49418-2678
(616) 538-2410
Mailing address
138 LOWELL AVE NE, GRAND RAPIDS, MI 49503-3786
(734) 807-1461
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704329817
MI
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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