Individual provider · Type 1 NPI

Marienellie Grandchamps, FNP

Family Nurse Practitioner · Bronx, NY

NPI number 1295451029 Active

Practice location

2626 Halperin Ave
Bronx, NY 10461-2631

Mailing address

13033 228th St
Laurelton, NY 11413-1742

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF348575 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1295451029

Marienellie Grandchamps, FNP's National Provider Identifier is 1295451029, issued on Oct 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Oct 13, 2022.