Individual
MRS. JUDITH L. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10 LOWER CAMPUS DR, ALFRED STATE COLLEGE HEALTH SERVICES, ALFRED, NY 14802-1196
(607) 587-4200
(607) 587-4203
Mailing address
10 LOWER CAMPUS DR, ALFRED STATE COLLEGE HEALTH SERVICES, ALFRED, NY 14802-1196
(607) 587-4200
(607) 587-4203
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300630-1
NY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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