Individual
MS. KATHRYN K GRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C, AGACNP-BC
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(609) 707-2013
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(609) 707-2013
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR15733500
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00736100
NJ
Other
Enumeration date
06/14/2017
Last updated
03/17/2018
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