| Doctor Name: | MRS. NANCY M GRANT |
| NPI Number: | 1023024965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 000836 |
| Business Practice Address: | 36 Waller St School Based Health Center Bdjm New London, CT - 06320 |
| Business Phone Number: | 8607013772 |
| Business Fax Number: | 8607013772 |
| Mailing Address: | 255 Hempstead St, NEW LONDON |
| State: | CT |
| Postal Code: | 063206204 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | 000836 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |