MARY T GRANHOLM RN MSN APN NPI 1861620155

NPI Information

NPI: 1861620155
Provider Name: MARY T GRANHOLM, RN MSN APN
Classification: Registered Nurse - 163WX0200X
Entity Type: Individual

Specialization: Oncology

Address:
20 PROSPECT AVE
SUITE 400
HACKENSACK, NJ
ZIP 07601
Phone: (201) 336-8297
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Mary T Granholm, RN MSN APN is an oncology registered nurse in Hackensack, NJ. Mary T Granholm, RN MSN APN NPI is 1861620155. 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:

20 PROSPECT AVE
SUITE 400
HACKENSACK, NJ
ZIP 07601-997
Phone: (201) 336-8297
Fax: (201) 336-8296

The enumeration date for this NPI number is 6/25/2009 and was last updated on 6/25/2009.

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	163WX0200X	Registered Nurse	Oncology	26NJ00189400	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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