Individual provider · Type 1 NPI

Mary T. Granholm, RN MSN APN

Oncology Registered Nurse · Hackensack, NJ

NPI number 1861620155 Active

Practice location

20 Prospect Ave, Suite 400
Hackensack, NJ 07601-1997

Fax (201) 336-8296

Mailing address

26 Twin Lakes Dr
Airmont, NY 10952-4414

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse Primary 163WX0200X26NJ00189400 (NJ)

Oncology Registered Nurse: Definition to come...

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About NPI 1861620155

Mary T. Granholm, RN MSN APN's National Provider Identifier is 1861620155, issued on Jun 25, 2009. The primary taxonomy on file is Oncology Registered Nurse (163WX0200X), and the practice location is in Hackensack, NJ. The record was last updated on Jun 25, 2009.