Individual
GUILLERMO GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1220 12TH ST SE, WASHINGTON, DC 20003-3722
(202) 279-1819
(202) 617-2985
Mailing address
5941 ADDISON RD, CAPITOL HEIGHTS, MD 20743-2166
(301) 343-6298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN101143
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
RN1011343
DC
Other
Enumeration date
07/24/2017
Last updated
05/18/2021
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