Individual
DAVINA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3115 E VERBENA DR, PHOENIX, AZ 85048-8758
(336) 287-3519
Mailing address
3115 E VERBENA DR, PHOENIX, AZ 85048-8758
(336) 287-3519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229406
AZ
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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