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
Fax: (602) 375-3949
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437256153 NPPES
Arizona MEDICAID 963670

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