Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SARA T GRANVILLE, PA
ActiveSARA T GRANVILLE, PA is a Physician Assistant healthcare provider located in PIERRE, South Dakota. NPI 1457670366 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PIERRE, SD
Registration Details
- NPI Number
- 1457670366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2010 (16.218504483375 yrs)
- Last Updated
- Apr 13, 2012
- License
-
745 (SD)
Practice Information
- Address
-
100 MAC LNAVERA MEDICAL GROUP PIERREPIERRE, SD, 57501Browse SD providers · Browse ZIP 57501
- Phone
- 6059455202
- Fax
- 6059455094
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PIERRE, SD
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID FOSSUM | PAC | 1992757348 |
| NANCY J GONSOR | PA | 1942247556 |
| MARY G JAHRAUS | PA | 1689611212 |
| MRS. CARLA MARIE HELLER | PA-C | 1083654040 |
| BARB J JOY | PA | 1659314367 |
| JAYNE L NOVOTNY | PA | 1972546596 |
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.