Individual
MS. DENISE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP AC PEDIATRICS
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4273
Mailing address
1911 OAKLEY RD, GLEN BURNIE, MD 21061-4319
(443) 804-8882
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R113037
MD
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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