Individual
MRS. KIMBERLY MICHELLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
661 E ALTAMONTE DR STE 324, ALTAMONTE SPRINGS, FL 32701-5103
(407) 845-8354
(407) 645-5355
Mailing address
1115 E. RIDGEWOOD ST., ORLANDO, FL 32803
(407) 841-1100
(407) 650-0262
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9227413
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9227413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022906900
—
FL
01
—
NU386
MEDICARE HF
FL
Enumeration date
11/15/2011
Last updated
06/12/2025
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