Individual
ALTHEA GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
7459 BURLINGTON PIKE, FLORENCE, KY 41042-1553
(859) 578-3200
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
(859) 534-2989
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014797
KY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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