Individual
HALLIE GRANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70020788
WA
367A00000X
Advanced Practice Midwife
Primary
AP61012020
WA
Other
Enumeration date
11/01/2019
Last updated
02/21/2026
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