Janie Grantham-Carlson
Registered Nurse, School in Shingle Springs, CA. Individual provider (NPI-1).
NPI number1215744206
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1215744206
- Entity type
- Individual (NPI-1)
- Name
- Janie Grantham-Carlson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2024
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 95-46221 | CA | Yes |
Practice location
3661 Ponderosa RdShingle Springs, CA 95682-9460
Phone 530-677-2281
Mailing address
3661 Ponderosa RdShingle Springs, CA 95682-9460
Phone 530-677-2281
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