Individual
KATHRYN ELIZABETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
33 OVERLOOK RD STE 101, SUMMIT, NJ 07901-3537
(908) 273-1112
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(908) 273-1112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR1982430
NJ
163W00000X
Registered Nurse
6910251
NY
163W00000X
Registered Nurse
RN661249
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00785700
NJ
363LP0200X
Pediatric Nurse Practitioner
F382803
NY
363LP0200X
Pediatric Nurse Practitioner
SP018597
PA
Other
Enumeration date
09/28/2017
Last updated
03/03/2023
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