Most Relevant Information
Provider Data
| NPI Number: | 1003568551 |
| Provider Name: | ERICA GRANTEED AG-ACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.0031040 |
Most Important Dates
| Enumeration Date: | 01/25/2022 |
| Last Updated: | 02/12/2023 |
Provider Practice Location
1855 WISCONSIN AVE NW STE A
WASHINGTON
DC
200072382
Practice Location Phone/Fax
| Phone: | 2029928890 |
| Fax: |
Provider Mailing Location
15628 WHISPERING KNOLL CT
HILLSBORO
VA
201322569
Provider Mailing Phone/Fax
| Phone: | 9545475150 |
| Fax: |