Individual provider · Type 1 NPI
John J. Grandner, CRNP
Nurse Practitioner · Rockville, MD
Practice location
2101 E Jefferson St
Rockville, MD 20852-4908
Fax (202) 898-5474
Mailing address
2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West
Rockville, MD 20852-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN47957 (DC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1699843094
John J. Grandner, CRNP's National Provider Identifier is 1699843094, issued on Dec 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockville, MD. The record was last updated on Jan 5, 2012.