Provider Demographics
NPI:1710258546
Name:GRANT, LAURIE P (CRNP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:P
Last Name:GRANT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NIH/NHLBI/DIR/CPB
Mailing Address - Street 2:BUILDING 10-CRC, ROOM 5-1452
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892
Mailing Address - Country:US
Mailing Address - Phone:301-496-0971
Mailing Address - Fax:301-480-1283
Practice Address - Street 1:NIH/NHLBI/DIR/CPB
Practice Address - Street 2:BUILDING 10-CRC, ROOM 5-1452
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-0971
Practice Address - Fax:301-480-1283
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDAC000980363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care