Individual
GRANT E VANMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007472
IL
367500000X
Certified Registered Nurse Anesthetist
875993
TX
367500000X
Certified Registered Nurse Anesthetist
AP128040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413780YL87
MEDICARE PTAN
TX
Enumeration date
04/10/2009
Last updated
01/20/2026
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