Charla Gayle Granberry in Rockwall - Nurse Practitioner

Charla Gayle Granberry - NPI 1457486193

Charla Gayle Granberry is a Nurse Practitioner in Rockwall, Texas. Charla Gayle Granberry practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Charla Gayle Granberry is 1457486193. The last update date is 2022-03-31.

Charla Gayle Granberry's current location address is 1005 W Ralph Hall Pkwy, Rockwall, Texas. You can contact this provider via phone number 9727719081 and fax number 9727727102. The mailing address for Charla Gayle Granberry is 1005 W Ralph Hall Pkwy, Rockwall, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charla Gayle Granberry
Address 1005 W Ralph Hall Pkwy, Rockwall, Texas
Phone Number 9727719081
Fax Number 9727727102
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1457486193
Provider Enumeration Date 2007-02-22
Last Updated Date 2022-03-31

Provider Mailing Address Detail

Address 1005 W Ralph Hall Pkwy
City Rockwall
State Texas (TX)
Post Code 750326658
Phone Number 9727719081
Fax Number 9727727102

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 246073
Definition:
(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 certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
246073 TX NURSE PRACTIONER

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FAQs about Charla Gayle Granberry

What is the unique 10-digit identifier code assigned to Charla Gayle Granberry by the Centers for Medicare & Medicaid Services?

The Charla Gayle Granberry has been issued the NPI (National Provider Identifier) 1457486193 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Charla Gayle Granberry?

The Charla Gayle Granberry is physically situated at 1005 W Ralph Hall Pkwy, in the city of Rockwall, state of TX, with the postal code 750326658.

What is Charla Gayle Granberry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charla Gayle Granberry is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date was the 1457486193 assigned to Charla Gayle Granberry?

The Charla Gayle Granberry was issued its 1457486193 on 2007-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charla Gayle Granberry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charla Gayle Granberry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-31.

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