DESIREA GRANT RN
NPI 1225640519
Registered Nurse - Home Health in Phila, PA
Active since August 19, 2020
About Desirea Grant Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESIREA GRANT RN (NPI 1225640519) is an individual home health provider in Phila, Pennsylvania, licensed in Pennsylvania (RN592036) and active in the NPI registry since August 2020.
NPPES Registry Identity
NPI1225640519
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameDESIREA GRANTCredential: RN
Location Address2000 W. VENANGO STREETPhila, PA 19140
Mailing Address816 Christian StreetGlassboro, NJ 08028 · (215) 881-3298
Phone(267) 281-4956
Sole ProprietorNo
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1225640519 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in PA · RN592036
2000 W. VENANGO STREET, Phila, PA 19140
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225640519, enumerated as an "individual" on August 19, 2020.
The provider is located at 2000 W. VENANGO STREET PHILA, PA 19140 and the phone number is (267) 281-4956.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
