Grant, Mary Louise
Grant, Mary Louise is an individual health care provider with primary practice located at 55585 29 Palms Hwy , Yucca Valley CA 92284-2505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grant, Mary Louise can be contacted via phone (760) 228-3366.Contact Information
Primary practice address
55585 29 Palms Hwy
Yucca Valley CA 92284-2505
Phone: (760) 228-3366
Fax: (760) 228-3369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13944 | California |
Profile Details
| NPI number | 1891831582 |
|---|---|
| LBN Legal business name | Grant, Mary Louise |
| Credentials | NP-F |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Apr 9th, 2013 - about 11 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 | 1891831582 | NPPES |
| California | Other | 450731 | RN LICENSE # |
| California | Other | 13944 | RN LICENSE # |
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