Grant, Mary L

Grant, Mary L is an sole proprietor health care provider with primary practice located at 912 Karl St , Green Bay WI 54301-2225. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Hospice. Nursing Service Providers / Registered Nurse is her primary health care specialty. Grant, Mary L can be contacted via phone (920) 432-1014.

Contact Information

Primary practice address
912 Karl St Green Bay WI 54301-2225
Phone: (920) 432-1014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9450730 Wisconsin
Nursing Service Providers / Home Health 163WH0200X 9450730 Wisconsin
Nursing Service Providers / Hospice 163WH1000X 9450730 Wisconsin

Profile Details

NPI number 1619295003
LBN Legal business name Grant, Mary L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2010
Last updated May 10th, 2010 - about 14 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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