Provider Demographics
NPI:1790233351
Name:GRANTSARIS, FRANCIENNE LINDA-ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:FRANCIENNE
Middle Name:LINDA-ANN
Last Name:GRANTSARIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:FRANCIENNE
Other - Middle Name:LINDA-ANN
Other - Last Name:BUXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2819 GREAT NORTHERN LOOP STE 200
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1750
Mailing Address - Country:US
Mailing Address - Phone:406-543-1197
Mailing Address - Fax:406-543-0515
Practice Address - Street 1:2819 GREAT NORTHERN LOOP STE 200
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1750
Practice Address - Country:US
Practice Address - Phone:406-543-1197
Practice Address - Fax:406-543-0515
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT105784363LF0000X
MTNUR-APRN-LIC-105784363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily