GRANTLEY ITTERA APRN NPI 1619223666

NPI Information

NPI: 1619223666
Provider Name: GRANTLEY ITTERA, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
101 E MILLER ST
ORLANDO, FL
ZIP 32806
Phone: (407) 246-6620
Get Directions

Grantley Ittera, APRN is a psychiatric/mental health nurse practitioner in Orlando, FL. Grantley Ittera, APRN NPI is 1619223666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 E MILLER ST
ORLANDO, FL
ZIP 32806-123
Phone: (407) 246-6620

The enumeration date for this NPI number is 7/27/2012 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11023199	FLORIDA	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN933083	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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