Individual provider · Type 1 NPI

Wanda Jean Grant, REGISTERED NURSE

Psychiatric/Mental Health Registered Nurse · Lompoc, CA

NPI number 1740845122 Active

Practice location

117 N B St
Lompoc, CA 93436-6901

Mailing address

43036 30th St W Apt 131
Lancaster, CA 93536-4773

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X348078 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1740845122

Wanda Jean Grant, REGISTERED NURSE's National Provider Identifier is 1740845122, issued on May 1, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lompoc, CA. The record was last updated on May 1, 2019.