Grant, Micah

Grant, Micah is an sole proprietor health care provider with primary practice located at 3040 Spring Mill Dr , Mountain Home AR 72653-5188. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grant, Micah can be contacted via phone (501) 628-2062.

Contact Information

Primary practice address
3040 Spring Mill Dr Mountain Home AR 72653-5188
Phone: (501) 628-2062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X A005809 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A005809 Arkansas

Profile Details

NPI number 1952880791
LBN Legal business name Grant, Micah
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2018
Last updated Jan 10th, 2019 - about 5 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 1952880791 NPPES
Other NONE NONE

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