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

ANTIA ELEASE GRANT, RN

Active Sole Proprietor

ANTIA ELEASE GRANT, RN is a General Practice Nurse healthcare provider located in WOODBRIDGE, Virginia. NPI 1740952092 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · WOODBRIDGE, VA

Registration Details

NPI Number
1740952092
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2021 (4.8834719577549 yrs)
Last Updated
Oct 4, 2021
License
0001279550 (VA)
Sole Proprietor
Yes

Practice Information

Address
14517 GENERAL WASHINGTON DR
WOODBRIDGE, VA, 221933255
Browse VA providers · Browse ZIP 22193
Phone
7036362266
Primary Specialty
General Practice Nurse
163WG0000X
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.