Individual
SUSAN KAY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6104
Mailing address
689 DIVIDE SOUTH DR, DIVIDE, CO 80814-8406
(970) 697-7539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0186764
CO
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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