| NPI | 1518075399 |
|---|---|
| Other Name | AMANDA LEE GRANIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180190) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335000) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-10-27 |