NPI 1265839229

Samantha Nicole Granville, LVN

Practitioner Licensed Vocational Nurse Waianae, HI

Practice location

Address: 87-136 Kulala Pl, Waianae, HI 96792-3364
Phone: (760) 646-6006

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 252862 (CA)

Other Licensed Vocational Nurse providers in Hawaii →

Registry record

NPI: 1265839229
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2014
Record last updated: 19 Nov 2014

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.