DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NICHOLAS J GRANDE JR., PAC

Active

MR. NICHOLAS J GRANDE JR., PAC is a Medical Physician Assistant healthcare provider located in DAVENPORT, Iowa. NPI 1316085756 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · DAVENPORT, IA

Registration Details

NPI Number
1316085756
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2007 (19.49602454562 yrs)
Last Updated
Feb 16, 2023

Practice Information

Address
1227 E RUSHOLME ST
DAVENPORT, IA, 528032459
Browse IA providers · Browse ZIP 52803
Phone
5634211000
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in DAVENPORT, IA

Name Credential NPI
VICKI R. HUGHES PA-C 1952397945
MS. PAULETTE ONG PA-C 1477528073
MRS. CATHERINE A HAGEDORN PA-C 1770552051
JEREMY J MCGRATH PA-C 1790742864
NICOLE MARIE LUSZCZYK PA-C 1699913061
MR. DEVAN LOUIS DEPAUW PA-C 1558869321
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.