Active NPIIndividual provider

Ms. Kathryn Granville, NP

Nurse Practitioner, Pediatrics in Bridgeport, Connecticut

NPI Number1598743551
Practice location
60 Housatonic Ave, Bridgeport, CT 06604-4026
Fax
203-579-3688
Last updated
March 22, 2022

Kathryn Granville is a Nurse Practitioner, Pediatrics based in Bridgeport, CT. 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 (CT). The current practice location address for Kathryn Granville is 60 Housatonic Ave, Bridgeport, CT 06604-4026 and can be reached out via phone at 203-579-6548 and via fax at 203-579-3688.

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
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
January 9, 2006
Last Update Date
March 22, 2022
Certification Date
March 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Housatonic Ave
Bridgeport, CT 06604-4026
Zip
06604-4026
Phone Number
203-579-6548
Fax Number
203-579-3688
Bridgeport, CT 06604Get directions →

Provider Business Mailing Address Details

Address
60 Housatonic Ave
Bridgeport, CT 06604-4026
City
Bridgeport
State
CT
Zip
06604-4026
Phone Number
203-579-6548
Fax Number
203-579-3688

License Information

License Number
001766
License State
CT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Pediatrics providers near Bridgeport, CT

View all Nurse Practitioner, Pediatrics providers in Bridgeport →

Frequently Asked Questions

What is the NPI number of Ms. Kathryn Granville, NP?

The NPI number of Ms. Kathryn Granville, NP is 1598743551. It was assigned on January 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Kathryn Granville, NP?

Ms. Kathryn Granville, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 001766.

Where does Ms. Kathryn Granville, NP practice?

The practice location is 60 Housatonic Ave, Bridgeport, CT 06604-4026. The office can be reached at 203-579-6548 (phone) or 203-579-3688 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598743551 directly on the NPPES registry website.

Browse related providers