Individual
ELIZABETH ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2900 W. 16TH STREET, BEDFORD, IN 47421-3510
(812) 279-3747
(812) 275-1328
Mailing address
2900 W. 16TH STREET, BEDFORD, IN 47421-3510
(812) 279-3747
(812) 275-1328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
70000056
IN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000056A
IN
Other
Enumeration date
12/11/2006
Last updated
07/24/2008
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