Individual
MS. BRI'ANDRA GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9131 ADAMS AVE, HUNTINGTON BEACH, CA 92646-3462
(714) 845-5900
Mailing address
9131 ADAMS AVE, HUNTINGTON BEACH, CA 92646-3462
(714) 845-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
340730
TN
363LF0000X
Family Nurse Practitioner
1020057
TX
363LF0000X
Family Nurse Practitioner
Primary
95016838
CA
Other
Enumeration date
10/31/2020
Last updated
03/03/2021
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