Individual
MEAGAN ELIZABETH GRANDGENETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5618 S LOUTHAN ST, LITTLETON, CO 80120-1207
(507) 525-2076
Mailing address
5618 S LOUTHAN ST, LITTLETON, CO 80120-1207
(507) 525-2076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0994268-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0994268-NP
CO
Other
Enumeration date
03/05/2019
Last updated
10/09/2019
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