NPI 1295994648
Tonia C Grantham, LPN
Practice location
- Address
- 500 W Fort St, Boise, ID 83702-4501
- Phone
- (208) 422-1393
- Mailing address
- 1408 W Blaine Ave, Nampa, ID 83651-7676
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1295994648
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jun 2008
- Record last updated
- 2 Jun 2008
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.