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Individual

TINA RENEE GRANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(478) 542-4703
Mailing address
1314 BARBOUR ST, SOUTH BOSTON, VA 24592-2610
(478) 542-4703

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024189874
VA

Other

Enumeration date
07/11/2025
Last updated
07/11/2025
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