Individual
MRS. NANCY R GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
308 MISSION DRIVE, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4235
Mailing address
PO BOX 880, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 6647
MT
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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