Terra J Grandmason ARNP

NPI 1235328501 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1235328501
Gender Female
Enumeration Date 10/23/2007
Last Updated 01/25/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
575 E. MAIN STREET
ELMA WA, 98541-9551, US
Phone (360) 482-3711
Fax (360) 861-8675
Business Location
600 E. MAIN STREET
ELMA WA, 98541, US
Phone (360) 482-3711
Fax (360) 861-8675
Toxanomy
Taxonomy Code 363LF0000X
License State Washington
License Number AP30007907
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According to our database, Ms. Terra J Grandmason ARNP NPI is 1235328501, taxonomy code is 363LF0000X and license number is AP30007907, license state is located at Washington. Terra J Grandmason ARNP physically located at 575 E. Main Street, Elma WA, 98541-9551. NPI Number Terra J Grandmason ARNP has the Individual type.

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1235328501 NPI number is provided on an as is basis without warranty of any kind. 1235328501 is maintained by the National Plan & Provider Enumeration System. The contents of Terra J Grandmason ARNP are for informational purposes only.