Tonia C Grantham in Nampa - Licensed Practical Nurse
Tonia C Grantham - NPI 1295994648
Tonia C Grantham is a Licensed Practical Nurse in Nampa, Idaho. Tonia C Grantham practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tonia C Grantham is 1295994648. The last update date is 2008-06-02.
Tonia C Grantham's current location address is 1408 W Blaine Ave, Nampa, Idaho. You can contact this provider via phone number 2084668758. The mailing address for Tonia C Grantham is 1408 W Blaine Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tonia C Grantham |
|---|---|
| Address | 1408 W Blaine Ave, Nampa, Idaho |
| Phone Number | 2084668758 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1295994648 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 1408 W Blaine Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836517676 |
| Phone Number | 2084668758 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 9888 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Tonia C Grantham's 1295994648?
The Tonia C Grantham's NPI (National Provider Identifier) Number is 1295994648. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tonia C Grantham located?
The Tonia C Grantham is located at 1408 W Blaine Ave, Nampa, ID 836517676.
What is the Tonia C Grantham's specialty and taxonomy code?
The Tonia C Grantham's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295994648 to Tonia C Grantham?
The Tonia C Grantham received its 1295994648 assignment from the Centers for Medicare & Medicaid Services on 2008-06-02.
As of what date was the information regarding Tonia C Grantham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tonia C Grantham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-02.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY