Provider Demographics
NPI:1881954337
Name:GRANN, ELANA L (APN)
Entity type:Individual
Prefix:MS
First Name:ELANA
Middle Name:L
Last Name:GRANN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:900 LANIDEX PLZ
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2707
Mailing Address - Country:US
Mailing Address - Phone:973-831-2777
Mailing Address - Fax:973-831-2780
Practice Address - Street 1:900 LANIDEX PLZ
Practice Address - Street 2:SUITE 220
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2707
Practice Address - Country:US
Practice Address - Phone:973-831-2777
Practice Address - Fax:973-831-2780
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00376800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1881954337OtherNPPI