Individual
SANDRA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4848 POND PINE WAY, LAKE WORTH, FL 33463-3504
(561) 676-7728
Mailing address
4848 POND PINE WAY, LAKE WORTH, FL 33463-3504
(561) 676-7728
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024192808
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70003326
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11029553
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP500020825
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-254643
MT
Other
Enumeration date
09/17/2007
Last updated
02/26/2026
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