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Individual

MRS. MARLA ELLEN GRANTHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N

Contact information

Practice address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-0415
(615) 340-7789
Mailing address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-0415
(615) 340-7789

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN0000149967
TN

Other

Enumeration date
02/09/2009
Last updated
02/09/2009
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