NPI 1073810123
Amelia Grantham
Practice location
- Address
- Building 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
- Phone
- (334) 255-7547
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1073810123
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Feb 2011
- Record last updated
- 24 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.