Individual
ALYSSA GRANHOLM
Active
Individual
ALYSSA GRANHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14710200
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00619900
NJ
Other
Enumeration date
12/21/2015
Last updated
04/24/2024
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