National Provider Identifier

Nicolette Granger

Nicolette Granger is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 737-4711.

NPI 1497391767Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1497391767
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 21, 2019
Last Updated
November 21, 2019

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4711

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497391767
Entity Type
Individual
Last Name
Granger
First Name
Nicolette
Mailing Street Address
100 Washington St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2849
Mailing Country
US
Mailing Phone
(607) 737-4927
Mailing Fax
(607) 737-9080
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4711
Enumeration Date
November 21, 2019
Last Updated
November 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)