Doctor Name: | MRS. HOPE GRANGER |
NPI Number: | 1689091001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 11140274 |
Business Practice Address: | 303 W Port St Saint Martinville, LA - 705823923 |
Business Phone Number: | 3373943097 |
Business Fax Number: | |
Mailing Address: | 1004 Jeanne St, BREAUX BRIDGE |
State: | LA |
Postal Code: | 705176707 |
Phone Number: | 3373320403 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 11140274 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |