Individual
MADELINE BETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1616 E MILLBROOK RD, RALEIGH, NC 27609-4968
(984) 217-3193
Mailing address
1528 GARDEN PASSAGE DR, RALEIGH, NC 27604-9708
(703) 987-5323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021730
NC
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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