Individual
STEPHANIE ANN GRANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-ED, RN, WCC
Contact information
Practice address
123 HARDY ST, PRESQUE ISLE, ME 04769-3034
(401) 702-4298
Mailing address
123 HARDY ST, PRESQUE ISLE, ME 04769-3034
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN78157
ME
Other
Enumeration date
02/19/2022
Last updated
11/08/2023
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