Grant, Roberta Ann
Grant, Roberta Ann is an individual health care provider with primary practice located at 100 John Roemmelt Dr Ste 204 , Horseheads NY 14845-8304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grant, Roberta Ann can be contacted via phone (607) 795-2828.Contact Information
Primary practice address
100 John Roemmelt Dr Ste 204
Horseheads NY 14845-8304
Phone: (607) 795-2828
Fax: (607) 795-2829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F3347761 | New York |
Profile Details
| NPI number | 1548358203 |
|---|---|
| LBN Legal business name | Grant, Roberta Ann |
| Credentials | FNP C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 24th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548358203 | NPPES |
| New York | MEDICAID | 02850613 |
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