Doctor Name: | DR. R. DAILEY GRAINGER |
NPI Number: | 1417057969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., ARNP, B.C. |
License Number: | 187132 |
Business Practice Address: | 83266 Overseas Hwy Suite 500 Islamorada, FL - 330363520 |
Business Phone Number: | 3053933600 |
Business Fax Number: | 3056645350 |
Mailing Address: | 156 Biscayne Blvd, ISLAMORADA |
State: | FL |
Postal Code: | 330364125 |
Phone Number: | 3053933600 |
Fax Number: | 3056645350 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 187132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |