Individual
NICHOLAS GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 4, TAMPA, FL 33607-6307
(813) 350-7244
(813) 350-7246
Mailing address
501 20TH ST STE 606, KNOXVILLE, TN 37916-1863
(865) 331-2278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
712031-01
NY
163W00000X
Registered Nurse
9552850
FL
367500000X
Certified Registered Nurse Anesthetist
11017918
FL
367500000X
Certified Registered Nurse Anesthetist
712031-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11017918
FL
Other
Enumeration date
01/28/2022
Last updated
10/17/2022
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