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
Phone: (863) 272-1001
Fax: (863) 816-3128
Website:
Health care specialties
| Specialty | Code | License # | 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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