Individual provider · Type 1 NPI

Karin Elaine Grantham, APRN

Family Nurse Practitioner · Tyler, TX

NPI number 1164055950 Active

Practice location

409 W Ferguson St
Tyler, TX 75702-5632

Mailing address

16144 Rocky Ridge Rd
Bullard, TX 75757-9733

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X533441 (TX)
Family Nurse Practitioner Primary 363LF0000X1044084 (TX)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1164055950

Karin Elaine Grantham, APRN's National Provider Identifier is 1164055950, issued on Feb 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Apr 21, 2025.