Granstan, Maxine M

Granstan, Maxine M is an sole proprietor health care provider with primary practice located at 122 E Main St # 164 , Lakeland FL 33801-4655. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Granstan, Maxine M can be contacted via phone (863) 272-1001.

Contact Information

Primary practice address
122 E Main St # 164 Lakeland FL 33801-4655
Fax: (863) 816-3128
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA345440 Florida

Profile Details

NPI number 1013481530
LBN Legal business name Granstan, Maxine M
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2019
Last updated Jan 17th, 2019 - about 7 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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