Individual provider · Type 1 NPI
Kelly K. Grannis, APRN
Nurse Practitioner · Evanston, IL
Practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
60 Revere Dr Ste 100
Northbrook, IL 60062-1590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209019940 (IL) |
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 1821646639
Kelly K. Grannis, APRN's National Provider Identifier is 1821646639, issued on Aug 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Evanston, IL. The record was last updated on Jul 2, 2024.