Provider Demographics
NPI:1285820969
Name:GRANSHAW, NANCY R
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:R
Last Name:GRANSHAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 OLNEY ST
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5715
Mailing Address - Country:US
Mailing Address - Phone:508-336-2278
Mailing Address - Fax:
Practice Address - Street 1:419 OLNEY ST
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-5715
Practice Address - Country:US
Practice Address - Phone:508-336-2278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical