Individual
BLAIR ALEXANDRIA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN-RX, FNP-BC
Contact information
Practice address
2547 10TH AVE, HONOLULU, HI 96816-3030
(808) 391-7776
Mailing address
2547 10TH AVE, HONOLULU, HI 96816-3030
(808) 391-7776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-74495
HI
363L00000X
Nurse Practitioner
2833
HI
363LF0000X
Family Nurse Practitioner
Primary
2833
HI
Other
Enumeration date
07/12/2019
Last updated
09/19/2023
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