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PETER MARK GRANDERSON APN, FNP-C
NPI 1750660528
Nurse Practitioner - Family in Siloam Springs, AR

Active since August 11, 2011
1500 N MOUNT OLIVE ST, SUITE 1, SILOAM SPRINGS, AR 72761(479) 524-8175(479) 524-8176 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter Mark Granderson Apn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER MARK GRANDERSON APN, FNP-C (NPI 1750660528) is an individual family provider in Siloam Springs, Arkansas, licensed in Arkansas (A03579) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1750660528
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePETER MARK GRANDERSONCredential: APN, FNP-C
Location Address1500 N MOUNT OLIVE ST, SUITE 1Siloam Springs, AR 72761-9509
Mailing Address614 E Emma Avenue, Suite 300Springdale, AR 72764-4469 · (479) 751-7417 · Fax (479) 751-4898
Phone(479) 524-8175
Fax(479) 524-8176
Sole ProprietorNo
Enumeration DateAugust 11, 2011
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1750660528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · A03579
1500 N MOUNT OLIVE ST, Siloam Springs, AR 72761
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST FRANCIS HOUSE NWA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 N MOUNT OLIVE ST, SUITE 1
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8175
MRS. MICHELLE JO SAUER M.A., CCC-SLP
Speech-Language Pathologist
1500 N MOUNT OLIVE ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-6184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Granderson's NPI number?

The NPI number for Peter Granderson is 1750660528. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Peter Granderson located?

Peter Granderson practices at 1500 N Mount Olive St Suite 1, Siloam Springs, AR 72761. The listed phone number is (479) 524-8175.

What is Peter Granderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peter Granderson was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.