MICAH GRANT

BARRE, VT
NPI1952880791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VT  101.0135104)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: AR  A005809)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR  A005809)
Enumeration Date2018-08-13
Last Update Date2025-09-08
Business Address
-- MICAH GRANT APRN
225 S MAIN ST
BARRE, VT 05641-4881
Phone number: 802-479-3302
Mailing Address
-- MICAH GRANT APRN
225 S MAIN ST
BARRE, VT 05641-4881
Phone number: 802-479-3302