Grant, Wayne Keith
Grant, Wayne Keith is an individual health care provider with primary practice located at 1090 Goat Springs Rd , Taos Pueblo NM 87571. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Grant, Wayne Keith can be contacted via phone (505) 758-4224.Contact Information
Primary practice address
1090 Goat Springs Rd
Taos Pueblo NM 87571
Phone: (505) 758-4224
Fax: (505) 751-5210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN961075 | District of Columbia |
Profile Details
| NPI number | 1710326509 |
|---|---|
| LBN Legal business name | Grant, Wayne Keith |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2013 |
| Last updated | Aug 16th, 2013 - about 12 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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