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Individual

ROBIN GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
436 5TH ST, KOTZEBUE, AK 99752
(000) 000-0000
(617) 344-3857
Mailing address
436 5TH ST, KOTZEBUE, AK 99752

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2334521
MA
163W00000X
Registered Nurse
RN68549
ME
163WP0808X
Psychiatric/Mental Health Registered Nurse
237978
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP221394
ME

Other

Enumeration date
03/25/2022
Last updated
06/30/2025
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