Individual provider · Type 1 NPI
Desirea Grant, RN
Home Health Registered Nurse · Phila, PA
NPI number
1225640519
Active
Practice location
2000 W. Venango Street
Phila, PA 19140
Mailing address
816 Christian Street
Glassboro, NJ 08028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | RN592036 (PA) |
Home Health Registered Nurse: Definition to come...
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About NPI 1225640519
Desirea Grant, RN's National Provider Identifier is 1225640519, issued on Aug 19, 2020. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Phila, PA. The record was last updated on Aug 19, 2020.