NPI 1265259998

Nickeshia Grant

Practitioner Licensed Practical Nurse Waterbury, CT

Practice location

Address: 26 Forest Ridge Rd, Waterbury, CT 06708-1810
Phone: (914) 572-8683

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 320155 (NY)

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Registry record

NPI: 1265259998
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2024
Record last updated: 24 Sep 2024

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.