Individual provider · Type 1 NPI

Amelia Grantham

Licensed Practical Nurse · Fort Rucker, AL

NPI number 1073810123 Active

Practice location

Building 301 Andrews Ave, Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Call (334) 255-7547 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2-052329 (AL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

17 other providers at this address

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About NPI 1073810123

Amelia Grantham's National Provider Identifier is 1073810123, issued on Feb 24, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Rucker, AL. The record was last updated on Feb 24, 2011.