Individual
TATUM E GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MAIN ST, NORWICH, CT 06360-5760
(860) 731-5522
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45380
CT
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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