MR. WAYNE KEITH GRANT APRN NPI 1710326509

NPI Information

  • NPI: 1710326509
  • Provider Name: MR. WAYNE KEITH GRANT, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1090 GOAT SPRINGS RD
    TAOS PUEBLO, NM
    ZIP 87571
  • Phone: (505) 758-4224

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NPI Details

MR. Wayne Keith Grant, APRN is a family nurse practitioner in Taos Pueblo, NM. MR. Wayne Keith Grant, APRN NPI is 1710326509. 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:

1090 GOAT SPRINGS RD
TAOS PUEBLO, NM
ZIP 87571
Phone: (505) 758-4224
Fax: (505) 751-5210

The enumeration date for this NPI number is 6/14/2013 and was last updated on 8/16/2013.

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
1363LF0000XNurse PractitionerFamilyRN961075DISTRICT OF COLUMBIAYes

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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