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).
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 |
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 |
Street Address |
2191 DEFENSE HWY SUITE 201 |
City | CROFTON |
State | MD |
Zip Code | 21114-2931 |
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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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
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 |
Find all providers in zip 21114 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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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.