Granberry, Myila Nicole

Granberry, Myila Nicole is an individual health care provider with primary practice located at 8945 Golf Links Rd , Oakland CA 94605-4124. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Granberry, Myila Nicole can be contacted via phone (510) 317-1444.

Contact Information

Primary practice address
8945 Golf Links Rd Oakland CA 94605-4124
Phone: (510) 317-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1962668053
LBN Legal business name Granberry, Myila Nicole
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 20th, 2023 - 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 1962668053 NPPES
California MEDICAID 171M00000X

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