Elizabeth Granger
Nurse Practitioner Nurse Practitioner - Primary Care
2131 S 17th St
Wilmington
, North Carolina 28401-7407
Elizabeth Granger
Nurse Practitioner Nurse Practitioner - Primary Care
2131 S 17th St
Wilmington
, North Carolina 28401-7407
(910) 667-2970
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Elizabeth Granger
- 2131 S 17th St
- Wilmington, NC
- Zip : 28401-7407
- Phone : (910) 667-2970
Second Address
- Elizabeth Granger
- 2131 S 17th St
- Wilmington, NC
- Zip : 28401-7407
- Phone : (910) 667-2970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | COA.15723-NP | OH |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 5015167 | NC |
National Provider Identifier
| NPI | 1023434214 |
|---|---|
| Provider Name | Elizabeth Granger |
| First Address | Wilmington, NC 28401-7407 |
| Second Address | Wilmington, NC 28401-7407 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2014 |
| Last Update Date | 06/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.