MR. Wayne Keith Grant, APRN

NPI #1710326509 in Taos Pueblo, New Mexico

Provider Information

NPI Number
1710326509
Entity Type
Individual
Name
MR. Wayne Keith Grant, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APRN
Enumeration Date
Jun 14, 2013
Last Updated
Aug 16, 2013

Practice Location

Address
1090 GOAT SPRINGS RD
ZIP Code
87571
Phone
(505) 758-4224

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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