Individual
MELINDA N GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 SOUTH ST, PITTSFIELD, MA 01201-8242
(413) 443-2994
Mailing address
877 SOUTH ST, PITTSFIELD, MA 01201-8242
(413) 443-2994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2284108
MA
Other
Enumeration date
03/04/2024
Last updated
03/06/2024
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