NPI 1164666178

Brenda L Grant, LPN

Practitioner Licensed Practical Nurse Florissant, MO

Practice location

Address: 4585 Washington St Suite A-4, Florissant, MO 63033-5858
Phone: (314) 402-4693
Mailing address: 3112 Cross Keys Place Dr, Florissant, MO 63033-3129

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2002028541 (MO)

Other Licensed Practical Nurse providers in Missouri →

Registry record

NPI: 1164666178
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2009
Record last updated: 22 Apr 2009

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.