Individual provider · Type 1 NPI
Edna G. Granger, R.N.
General Practice Registered Nurse · Gainesville, FL
NPI number
1366588337
Active
Practice location
1601 SW Archer Rd
Gainesville, FL 32608-1135
Mailing address
4830 N.w. 73rd St
Chiefland, FL 32626-5301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN9244383 (FL) |
| General Practice Registered Nurse | 163WG0000X | 0001053233 (VA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1366588337
Edna G. Granger, R.N.'s National Provider Identifier is 1366588337, issued on Jan 29, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.