Stephen Grantham, RN

NPI #1043679129 in Vilonia, Arkansas

Provider Information

NPI Number: 1043679129
Entity Type: Individual
Name: Stephen Grantham, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Feb 17, 2016
Last Updated: Feb 17, 2016

Practice Location

Address: 39 RIDGEWOOD LOOP
City: Vilonia
State: Arkansas
ZIP Code: 72173-8058
Phone: (501) 912-6884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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