Lookup NPI Numbers from the NPI Registry
NPI Profile for MYRA J GRANTHAM in CONWAY, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Student Health |
261QS1000X |
| NPI Number | 1528459799 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 02/10/2015 | |
| Last updated | 06/10/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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MYRA J GRANTHAM
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MYRA J GRANTHAM, NP