Individual provider · Type 1 NPI

Tina Renee Grandel, NNP

Neonatal Nurse Practitioner · Norfolk, VA

NPI number 1811888530 Active

Practice location

601 Childrens Ln
Norfolk, VA 23507-1910

Call (478) 542-4703 Map

Mailing address

1314 Barbour St
South Boston, VA 24592-2610

Specialties and licenses

Taxonomy	Code	License
Neonatal Nurse Practitioner Primary	363LN0000X	0024189874 (VA)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1811888530

Tina Renee Grandel, NNP's National Provider Identifier is 1811888530, issued on Jul 11, 2025. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Norfolk, VA. The record was last updated on Jul 11, 2025.