Individual
ANTONELLA VANESSA GRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
5915 PONCE DE LEON BLVD STE 23, CORAL GABLES, FL 33146-2435
(786) 664-7810
Mailing address
10400 SW 76TH ST, MIAMI, FL 33173-2903
(305) 343-8533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11004614
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11004614
FL
Other
Enumeration date
11/04/2019
Last updated
11/19/2024
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