JUDITH ANN GRANDIN


Address: 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931
Phone: 4104519091

JUDITH ANN GRANDIN (NPI# 1386781607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386781607
Entity Type Individual
Full Name JUDITH ANN GRANDIN
Credential CRNP
Practice Address 2191 Defense Hwy
Suite 201
Crofton
MD 21114-2931
Practice Telephone 4104519091
Practice Fax Number 4104519094
Mailing Telephone 4104519091
Mailing Fax Number 4104519094
Enumeration Date 2007-01-30
Last Update Date 2011-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R075781 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2191 DEFENSE HWY
SUITE 201
City CROFTON
State MD
Zip Code 21114-2931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274143 Karla Sellers Nurse Practitioner 2191 Defense Hwy, Ste 201, Crofton, MD 21114-2469 2005-06-13
1851785869 Therapeutic Health Associates, LLC Nurse Practitioner 2191 Defense Hwy, Suite 314, Crofton, MD 21114-2931 2015-03-27
1386088599 Susan Long Family Medicine 2191 Defense Hwy, Ste 201, Crofton, MD 21114-2931 2013-04-18
1588919260 Stefanie Lynn Osterloh Nurse Practitioner 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 2012-07-18
1639493950 Ali Abbas, Md, PC Psychiatry & Neurology 2191 Defense Hwy, Suite 308, Crofton, MD 21114-2931 2010-03-15
1780868695 Jill Joyce, Md Pa Psychiatry & Neurology 2191 Defense Hwy, Suite 308, Crofton, MD 21114-2931 2007-12-27
1396949434 Clare Marie Rodgers Registered Nurse 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 2007-06-13
1942347182 Julia Ann Lombard Venuti Nurse Practitioner 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 2007-01-30
1063559292 Jane Priscilla Roach Nurse Practitioner 2191 Defense Hwy, Suite 201, Crofton, MD 21114-2931 2007-01-30
1245322510 Jill Joyce Psychiatry & Neurology 2191 Defense Hwy, Suite 308 Jill Joyce Md, Crofton, MD 21114-2941 2006-09-28
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Providers in the same zip code

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1972067494 Brightview Crofton, LLC Alzheimer Center (Dementia Center) 1301 Clarity Drive, Crofton, MD 21114 2019-01-29
1225522147 Jodie Rich Pharmacist Shoppers, 1649 Crofton Center, Crofton, MD 21114 2018-06-15
1447769054 Danielle Ellen Barton Counselor 1627 Ardsley Place, Crofton, MD 21114 2017-09-26
1093250474 Holistic, Re-education, & Empowering Serices, LLC Community/Behavioral Health 2305 Fairhaven Lane, Crofton, MD 21114 2016-12-21
1326594201 Evette Shields Adult Companion 1617 Parkridge Circle #152, Crofton, MD 21114 2016-08-30
1861866832 Kathryn Bucher Occupational Therapist 2435 Bolton Lane, Crofton, MD 21114 2015-11-13
1730512062 James Martin Schwartz Dentist 1286 Route 3 North, Crofton, MD 21114 2013-08-09
1184923088 Jean Louise Dela Torre Speech-Language Pathologist 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 2011-03-18
1295033488 Nancy Fox Royster Registered Nurse 1004 Broderick Court, Crofton, MD 21114 2011-03-11
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City CROFTON
Zip Code 21114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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