Individual
EDRINA CHARLURA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 HOSPICE CIR, RALEIGH, NC 27607-6372
(919) 828-0890
Mailing address
250 HOSPICE CIR, RALEIGH, NC 27607-6372
(919) 828-0890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007691
NC
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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