Individual
STEPHANIE EMMA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
784 CENTRAL AVE, DOVER, NH 03820-2549
(603) 742-5556
Mailing address
784 CENTRAL AVE, DOVER, NH 03820-2549
(603) 742-5556
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
064879-23
NH
363LF0000X
Family Nurse Practitioner
Primary
064879-23
NH
Other
Enumeration date
04/09/2024
Last updated
04/16/2024
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