Individual provider · Type 1 NPI
Gillian Grancorvitz, APRN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Hudson, WI
NPI number
1285353367
Active
Practice location
642 Brakke Dr Ste 105
Hudson, WI 54016-7904
Mailing address
401 Durango Dr
Roberts, WI 54023-8536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 18273-33 (WI) |
| Registered Nurse | 163W00000X | 2490493 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Hudson
About NPI 1285353367
Gillian Grancorvitz, APRN, PMHNP's National Provider Identifier is 1285353367, issued on Aug 23, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hudson, WI. The record was last updated on May 29, 2026.