Grantham, Daniella Deona
Grantham, Daniella Deona is an individual health care provider with primary practice located at 7121 S Padre Island Dr Ste 200, Corpus Christi TX 78412-4940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Grantham, Daniella Deona can be contacted via phone (361) 993-6000.Contact Information
Primary practice address
7121 S Padre Island Dr Ste 200
Corpus Christi TX 78412-4940
Phone: (361) 993-6000
Fax: (361) 993-3676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 559826 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP108955 | Texas |
Profile Details
| NPI number | 1801899349 |
|---|---|
| LBN Legal business name | Grantham, Daniella Deona |
| Credentials | Women's Health Nurse Practitioner (WHNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2005 |
| Last updated | May 18th, 2021 - about 3 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 | 1801899349 | NPPES |
| Texas | MEDICAID | 120095808 |
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