TATUM E GRANT
NPI 1609732817
Licensed Practical Nurse in Norwich, CT
- Individual
- Female
- Licensed Practical Nurse
About TATUM GRANT
This page provides the complete NPI Profile along with additional information for Tatum Grant, a provider established in Norwich, Connecticut with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1609732817 assigned on December 2025. The practitioner's primary taxonomy code is 164W00000X with license number 45380 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1609732817 Verify this NPI
- Provider Name
- TATUM E GRANT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 MAIN ST NORWICH, CT 06360
- Location Phone
- (860) 731-5522
- Location Fax
- (860) 731-5536
- Mailing Address
- 2 WATERSIDE XING STE 401 WINDSOR, CT 06095
- Mailing Phone
- (860) 731-5522
- Mailing Fax
- (860) 731-5536
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-31-2025
- Last Update Date
- 12-31-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 45380
- License State
- CT
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609732817, enumerated as an "individual" on December 31, 2025.
The provider is located at 55 MAIN ST NORWICH, CT 06360 and the phone number is (860) 731-5522.
Licensed Practical Nurse with taxonomy code 164W00000X.