Individual provider · Type 1 NPI

Terri-Ann K. Grant, CNP

Family Nurse Practitioner · Ruidoso, NM

NPI number 1508586967 Active

Practice location

211 Sudderth Dr
Ruidoso, NM 88345-6002

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2021207711 (NJ)
Family Nurse Practitioner Primary 363LF0000X78333 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1508586967

Terri-Ann K. Grant, CNP's National Provider Identifier is 1508586967, issued on Aug 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ruidoso, NM. The record was last updated on Jun 7, 2024.