MERCY GRANDAL ARNP NPI 1700874815

NPI Information

  • NPI: 1700874815
  • Provider Name: MERCY GRANDAL, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 3084 NE 41ST TER
    HOMESTEAD, FL
    ZIP 33030
  • Phone: (305) 245-8050

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NPI Details

Mercy Grandal, ARNP is a pediatrics nurse practitioner in Homestead, FL. Mercy Grandal, ARNP NPI is 1700874815. 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:

3084 NE 41ST TER
HOMESTEAD, FL
ZIP 33030-619
Phone: (305) 245-8050
Fax: (305) 245-8059

The enumeration date for this NPI number is 10/12/2005 and was last updated on 10/4/2013.

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
1363LP0200XNurse PractitionerPediatricsARNP 9184215FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1307126000MEDICAIDFLORIDA

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: 11/21/2025

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