Individual
MATTHEW R GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7677
(614) 293-5614
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7677
(614) 293-5614
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
15907CNP
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.15907
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.15907
OH
363LF0000X
Family Nurse Practitioner
COA.15907-NP
OH
Other
Enumeration date
07/08/2014
Last updated
04/17/2026
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