Grant, Marvel Lucretia
Grant, Marvel Lucretia is an sole proprietor health care provider with primary practice located at 6600 Nw 34Th Ave , Fort Lauderdale FL 33309-1225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Grant, Marvel Lucretia can be contacted via phone (954) 494-7564.Contact Information
Primary practice address
6600 Nw 34Th Ave
Fort Lauderdale FL 33309-1225
Phone: (954) 494-7564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 11008524 | Florida |
Profile Details
| NPI number | 1831708015 |
|---|---|
| LBN Legal business name | Grant, Marvel Lucretia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Aug 8th, 2020 - about 4 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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