Individual
MS. KARIN E GRANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(203) 284-1340
(203) 265-4557
Mailing address
PO BOX 4131, YALESVILLE, CT 06492-1481
(203) 284-1340
(203) 265-4557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82608
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
4702
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82608
LICENSE
CT
Enumeration date
07/12/2011
Last updated
03/01/2012
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