Bri'Andra Grantham, FNP
Nurse Practitioner, Family in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1982204533
StatusActive
Last updated in NPPESMar 3, 2021
Details
- NPI
- 1982204533
- Entity type
- Individual (NPI-1)
- Name
- Ms. Bri'Andra Grantham
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2020
- Certification date
- Mar 3, 2021
- Last updated
- Mar 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95016838 | CA | Yes |
| 163W00000X | Registered Nurse | 340730 | TN | |
| 363LF0000X | Nurse Practitioner, Family | 1020057 | TX |
Practice location
9131 Adams AveHuntington Beach, CA 92646-3462
Phone 714-845-5900
Mailing address
9131 Adams AveHuntington Beach, CA 92646-3462
Phone 714-845-5900
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