Granda, Marquita
Granda, Marquita is an individual health care provider with primary practice located at 5972 Heamoi Pl , Kapaa HI 96746-9704. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Granda, Marquita can be contacted via phone (808) 722-7710.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60733123 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN1837 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201603089NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202009723NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN1837 | Hawaii |
Profile Details
| NPI number | 1134527245 |
|---|---|
| LBN Legal business name | Granda, Marquita |
| Credentials | MSN, FNP-C, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2014 |
| Last updated | Apr 12th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134527245 | NPPES |
| Oregon | MEDICAID | 500709520 |
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