Individual
IZAAK WILLIAM GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 5300, COLUMBUS, OH 43214-3937
(614) 566-3500
(614) 533-0150
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.365402
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.16074
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106545
—
OH
01
—
P01452479
RAILROAD MEDICARE
OH
Enumeration date
05/19/2014
Last updated
02/10/2025
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