Ladale L Grant, FNP

NPI #1700219789 in Pittsburg, Kansas

Provider Information

NPI Number
1700219789
Entity Type
Individual
Name
Ladale L Grant, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Aug 14, 2013
Last Updated
Oct 8, 2015

Practice Location

Address
3011 N MICHIGAN ST
State
Kansas
ZIP Code
66762-2546
Phone
(620) 231-9873

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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