Individual provider · Type 1 NPI

Grant Penn Chanin, CNP

Nurse Practitioner · Albuquerque, NM

NPI number 1225488018 Active

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Call (505) 841-1125 Map

Fax (505) 841-1737

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP-02952 (NM)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1225488018

Grant Penn Chanin, CNP's National Provider Identifier is 1225488018, issued on Jun 13, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 16, 2026.