Grant, Nicole

Grant, Nicole is an individual health care provider with primary practice located at 3322 Chanate Rd , Santa Rosa CA 95404-1708. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Grant, Nicole can be contacted via phone (707) 565-4970.

Contact Information

Primary practice address
3322 Chanate Rd Santa Rosa CA 95404-1708
Phone: (707) 565-4970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 831427 California

Profile Details

NPI number 1225423494
LBN Legal business name Grant, Nicole
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Apr 8th, 2015 - about 11 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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