Individual provider · Type 1 NPI

Angela Marie Granata, D.P.M.

Foot & Ankle Surgery Podiatrist · Las Vegas, NV

NPI number 1669739827 Active

Practice location

10105 Banburry Cross Dr Ste 445
Las Vegas, NV 89144-6645

Fax (702) 765-0862

Mailing address

7455 W Washington Ave Ste 460
Las Vegas, NV 89128-4338

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X2007 (NV)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1669739827

Angela Marie Granata, D.P.M.'s National Provider Identifier is 1669739827, issued on Apr 12, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 17, 2021.