Individual
MRS. DANIELLA DEONA GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
7121 S PADRE ISLAND DR, STE 200, CORPUS CHRISTI, TX 78412-4940
(361) 993-6000
(361) 993-3676
Mailing address
214 SOLAR WAY, DENTON, TX 76207-2204
(940) 391-0235
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
559826
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
AP108955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120095808
—
TX
Enumeration date
05/28/2005
Last updated
05/18/2021
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