Individual provider · Type 1 NPI
Antia Elease Grant, RN
General Practice Registered Nurse · Woodbridge, VA
NPI number
1740952092
Active
Practice location
14517 General Washington Dr
Woodbridge, VA 22193-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 0001279550 (VA) |
General Practice Registered Nurse: Definition to come...
About NPI 1740952092
Antia Elease Grant, RN's National Provider Identifier is 1740952092, issued on Oct 4, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Woodbridge, VA. The record was last updated on Oct 4, 2021.