Individual
NANCY C GRANDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1655 BEAM AVE, SUITE 202, MAPLEWOOD, MN 55109-1163
(651) 232-7800
(651) 232-7826
Mailing address
1655 BEAM AVE, SUITE 202, MAPLEWOOD, MN 55109-1163
(651) 232-7800
(651) 232-7826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R096713-0
MN
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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