Grant, Georgeanna

Grant, Georgeanna is an individual health care provider with primary practice located at 210 W Main St Fl 2 , Danville KY 40422-1812. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Grant, Georgeanna can be contacted via phone (859) 236-3726.

Contact Information

Primary practice address
210 W Main St Fl 2 Danville KY 40422-1812
Phone: (859) 236-3726
Fax: (859) 236-3019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 3004763 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3004763 Kentucky

Profile Details

NPI number 1093262057
LBN Legal business name Grant, Georgeanna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated May 20th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093262057 NPPES
Kentucky MEDICAID 7100564260

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