| NPI | 1336600618 |
|---|---|
| Professional Name | DENISE M GRANDSTAFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011629) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NC 5011629) |
| 363L00000X Nurse Practitioner (Licence: NY 5011629) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5011629) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-02-06 |