Grant, Pamela K.
Grant, Pamela K. is an individual health care provider with primary practice located at 15420 N. 32Nd Drive , Phoenix AZ 85053-3998. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grant, Pamela K. can be contacted via phone (602) 866-1974.Contact Information
Primary practice address
15420 N. 32Nd Drive
Phoenix AZ 85053-3998
Phone: (602) 866-1974
Fax: (602) 375-3949
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP1990 | Arizona |
Profile Details
NPI number | 1437256153 |
---|---|
LBN Legal business name | Grant, Pamela K. |
Credentials | MSN, RN, CPNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 17th, 2006 |
Last updated | Jul 19th, 2019 - about 6 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 | 1437256153 | NPPES |
Arizona | MEDICAID | 963670 |
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