Individual provider · Type 1 NPI
Marilou Grant, CRNP
Family Nurse Practitioner · Old Forge, PA
NPI number
1962629428
Active
Practice location
314 Oak St
Old Forge, PA 18518-1619
Fax (570) 457-8611
Mailing address
518 Hill St
Duryea, PA 18642-1619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | UP004462B (PA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Old Forge
About NPI 1962629428
Marilou Grant, CRNP's National Provider Identifier is 1962629428, issued on Apr 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Old Forge, PA. The record was last updated on Jul 8, 2007.