person
Mr. Wayne Keith Grant, APRN
Family Nurse Practitioner in Taos Pueblo, New Mexico
NPI 1710326509

Wayne Keith Grant is a Family Nurse Practitioner based in Taos Pueblo, NM and is specialized in Family. Wayne Keith Grant practices in Taos Pueblo, NM and has the professional credentials of APRN. The NPI Number for Wayne Keith Grant is 1710326509 and holds a License No. RN961075 (New Mexico).

The current practice location address for Wayne Keith Grant is 1090 Goat Springs Rd, Taos Pueblo, NM and can be reached out via phone at 505-758-4224 and via fax at 505-751-5210.

Location: 1090 Goat Springs Rd, Taos Pueblo, NM, 87571
person
Provider Profile Details
NPI Number
1710326509
Provider Name
Wayne Keith Grant
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1090 Goat Springs Rd, Taos Pueblo, NM, 87571
Phone Number
505-758-4224
Fax Number
505-751-5210
Provider Enumeration Date
06/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1090 Goat Springs Rd
City
State
Zip
87571
Phone Number
505-758-4224
Fax Number
505-751-5210
person
Provider Business Mailing Address Details
Address
1090 Goat Springs Rd
City
State
Zip
87571
Phone Number
505-758-4224
Fax Number
505-751-5210
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN961075 (District of Columbia)
Definition
Definition to come...
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