Individual provider · Type 1 NPI

Allyson M. Granden, NP-C

Adult Health Nurse Practitioner · St. Louis, MO

NPI number 1649735176 Active

Practice location

12266 Depaul Drive, Suite 205
St. Louis, MO 63044-2727

Call (314) 218-2300 Map

Fax (314) 646-1700

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	2018038914 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1649735176

Allyson M. Granden, NP-C's National Provider Identifier is 1649735176, issued on Feb 8, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Oct 22, 2020.