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ALLYSON M GRANDEN NP-C NPI 1649735176


NPI Information

NPI: 1649735176
Provider Name: ALLYSON M GRANDEN, NP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: SSM MEDICAL GROUP INC

PECOS Registration: Yes

Address:
12266 DEPAUL DRIVE
SUITE 205
SAINT LOUIS, MO
ZIP 63044
Phone: (314) 218-2300
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Allyson M Granden, NP-C is an adult health nurse practitioner in Saint Louis, MO with 13 years of experience. Allyson M Granden, NP-C NPI is 1649735176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12266 DEPAUL DRIVE
SUITE 205
SAINT LOUIS, MO
ZIP 63044-727
Phone: (314) 218-2300
Fax: (314) 646-1700

The NPI 1649735176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2019 and was last updated on 10/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health2018038914MISSOURIYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.