Shandera S Granger, FNP
NPI #1881405041 in Springfield, Illinois
Provider Information
- NPI Number
- 1881405041
- Entity Type
- Individual
- Name
- Shandera S Granger, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jan 16, 2025
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 751 N RUTLEDGE ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-4968
- Phone
- (217) 553-1518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Practitioner - Family — Family |
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