Individual
HEATHER MARIE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPF95020703
CA
363LA2100X
Acute Care Nurse Practitioner
NP95020703
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95020703
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
NPF95020703
CA
363LF0000X
Family Nurse Practitioner
NP95020703
CA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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