Individual
HELENA B GRANDGENETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4485 FURLING LN, DESTIN, FL 32541-5331
(850) 650-7606
(850) 337-1698
Mailing address
4485 FURLING LN, DESTIN, FL 32541-5331
(850) 650-7606
(850) 337-1698
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9168155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303110108
—
FL
01
—
G2796
BCBS
FL
Enumeration date
07/11/2006
Last updated
08/23/2018
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