Individual provider · Type 1 NPI

Stephen Grantham, RN

Registered Nurse · Vilonia, AR

NPI number 1043679129 Active

Practice location

39 Ridgewood Loop
Vilonia, AR 72173-8058

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR095593 (AR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1043679129

Stephen Grantham, RN's National Provider Identifier is 1043679129, issued on Feb 17, 2016. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Vilonia, AR. The record was last updated on Feb 17, 2016.