Provider Demographics
NPI:1336895523
Name:GRANADOS, CLAUDIA (FNP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:GRANADOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7304 SW 34TH AVE UNIT 3
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1400
Mailing Address - Country:US
Mailing Address - Phone:806-350-3010
Mailing Address - Fax:
Practice Address - Street 1:7304 SW 34TH AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1400
Practice Address - Country:US
Practice Address - Phone:806-350-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1068384363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily