Granberry, Charla Gayle

Granberry, Charla Gayle is an individual health care provider with primary practice located at 1005 W Ralph Hall Pkwy , Rockwall TX 75032-6658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Granberry, Charla Gayle can be contacted via phone (972) 771-9081.

Contact Information

Primary practice address
1005 W Ralph Hall Pkwy Rockwall TX 75032-6658
Phone: (972) 771-9081
Fax: (972) 772-7102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 246073 Texas

Profile Details

NPI number 1457486193
LBN Legal business name Granberry, Charla Gayle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457486193 NPPES
Texas Other 246073 NURSE PRACTIONER

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