Provider Demographics
NPI:1558060996
Name:GRANT, FRANK R
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:R
Last Name:GRANT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5761 13TH ST NW APT 308
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3594
Mailing Address - Country:US
Mailing Address - Phone:202-360-2105
Mailing Address - Fax:
Practice Address - Street 1:5761 13TH ST NW APT 308
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3594
Practice Address - Country:US
Practice Address - Phone:202-360-2105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant