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Individual

ANTHONY GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 270-3041
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924
(612) 884-0600

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
9519
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
9519
MN

Other

Enumeration date
09/21/2022
Last updated
05/08/2025
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