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Ms. Kathryn Granville, NP
Pediatric Nurse Practitioner in Bridgeport, Connecticut
NPI 1598743551

Kathryn Granville is a Pediatric Nurse Practitioner based in Bridgeport, CT and is specialized in Pediatrics. Kathryn Granville practices in Bridgeport, CT and has the professional credentials of NP. The NPI Number for Kathryn Granville is 1598743551 and holds a License No. 001766 (Connecticut).

The current practice location address for Kathryn Granville is 60 Housatonic Ave, Bridgeport, CT and can be reached out via phone at 203-579-6548 and via fax at 203-579-3688. You can also correspond with Kathryn Granville through the mailing address at 60 HOUSATONIC AVE, BRIDGEPORT, CT - 06604-4026 (mailing address contact number: 203-579-6548).

Location: 60 Housatonic Ave, Bridgeport, CT, 06604-4026
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Provider Profile Details
NPI Number
1598743551
Provider Name
Kathryn Granville
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
60 Housatonic Ave, Bridgeport, CT, 06604-4026
Phone Number
203-579-6548
Fax Number
203-579-3688
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001766 01 CT LICENSE
004235900 05 CT
institution
Provider Business Practice Location Address Details
Address
60 Housatonic Ave
City
State
Zip
06604-4026
Phone Number
203-579-6548
Fax Number
203-579-3688
person
Provider Business Mailing Address Details
Address
60 Housatonic Ave
City
State
Zip
06604-4026
Phone Number
203-579-6548
Fax Number
203-579-3688
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
001766 (Connecticut)
Definition
Definition to come...
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