Individual
MRS. CARRIE JEAN GRANBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20111783
MN
363LP2300X
Primary Care Nurse Practitioner
20111783
MN
Other
Enumeration date
04/03/2012
Last updated
07/02/2026
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