Doctor Name: | ALICIA LAURELL GRANT-SINGH |
NPI Number: | 1578808770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | CNP121095 |
Business Practice Address: | 7 Main Rd N Hampden, ME - 044441334 |
Business Phone Number: | 2078629400 |
Business Fax Number: | 2078629411 |
Mailing Address: | 43 Whiting Hill Rd, Suite 300 BREWER |
State: | ME |
Postal Code: | 044121005 |
Phone Number: | 2079735035 |
Fax Number: | 2079735042 |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP121095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |