Alexandria Mary Granda
Nurse Practitioner, Family in Hialeah, FL. Individual provider (NPI-1).
NPI number1164079661
StatusActive
Last updated in NPPESAug 20, 2019
Details
- NPI
- 1164079661
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alexandria Mary Granda
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2019
- Last updated
- Aug 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11000669 | FL | Yes |
Practice location
8669 W 35th LnHialeah, FL 33018-1858
Phone 786-972-2130
Mailing address
8669 W 35th LnHialeah, FL 33018-1858
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