Provider Demographics
NPI:1003544149
Name:GRANDINETTI, SEAN (RN)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:GRANDINETTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:PARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2103 W STRAFORD DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1143
Mailing Address - Country:US
Mailing Address - Phone:602-908-9556
Mailing Address - Fax:
Practice Address - Street 1:1560 W SUMMIT PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1203
Practice Address - Country:US
Practice Address - Phone:480-472-3500
Practice Address - Fax:480-472-3549
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ277140163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool