Individual
MRS. MANDY GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11817 CANON BLVD STE 300, NEWPORT NEWS, VA 23606-4516
(757) 595-8005
(757) 595-9131
Mailing address
11817 CANON BLVD STE 300, NEWPORT NEWS, VA 23606-4516
(757) 595-8005
(757) 595-9131
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0001267550
VA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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