Mary Louise Grant in Yucca Valley - Family

Mary Louise Grant - NPI 1891831582

Mary Louise Grant is a Family in Yucca Valley, California. Mary Louise Grant practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Louise Grant is 1891831582. The last update date is 2013-04-09.

Mary Louise Grant's current location address is 55585 29 Palms Hwy, Yucca Valley, California. You can contact this provider via phone number 7602283366 and fax number 7602283369. The mailing address for Mary Louise Grant is 55585 29 Palms Hwy, Yucca Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Louise Grant
Address 55585 29 Palms Hwy, Yucca Valley, California
Phone Number 7602283366
Fax Number 7602283369
Sole Proprietor N
Credentials NP-F

NPI Number Detail

NPI Number 1891831582
Provider Enumeration Date 2007-01-29
Last Updated Date 2013-04-09

Provider Mailing Address Detail

Address 55585 29 Palms Hwy
City Yucca Valley
State California (CA)
Post Code 922842505
Phone Number 7602283366
Fax Number 7602283369

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 13944
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
450731 CA RN LICENSE #
13944 CA NP LICENSE #

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FAQs about Mary Louise Grant

What is the Mary Louise Grant's unique identification number?

The Mary Louise Grant has been assigned the NPI (National Provider Identifier) Number 1891831582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Mary Louise Grant located?

The Mary Louise Grant is located at 55585 29 Palms Hwy, Yucca Valley, CA 922842505.

What is Mary Louise Grant's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Louise Grant is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did the Mary Louise Grant receive its 1891831582 assignment from the Centers for Medicare & Medicaid Services?

The Mary Louise Grant was assigned its 1891831582 by the Centers for Medicare & Medicaid Services on 2007-01-29.

When was the information pertaining to Mary Louise Grant most recently updated or revised?

The details related to Mary Louise Grant, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-09.

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