Grandmason, Terra J
Grandmason, Terra J is an individual health care provider with primary practice located at 209 Lilly Rd Ne # B , Olympia WA 98506-5030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grandmason, Terra J can be contacted via phone (360) 413-8250.Contact Information
Primary practice address
209 Lilly Rd Ne # B
Olympia WA 98506-5030
Phone: (360) 413-8250
Fax: (360) 413-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30007907 | Washington |
Profile Details
| NPI number | 1235328501 |
|---|---|
| LBN Legal business name | Grandmason, Terra J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Jan 16th, 2024 - about 10 months 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 | 1235328501 | NPPES |
| Washington | MEDICAID | 1054720 |
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