MEAGAN ELIZABETH GRANDGENETT


Address: 5618 S Louthan St, Littleton, CO 80120-1207
Phone: 5075252076

MEAGAN ELIZABETH GRANDGENETT (NPI# 1568920890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568920890
Entity Type Individual
Full Name MEAGAN ELIZABETH GRANDGENETT
Credential NP
Practice Address 5618 S Louthan St
Littleton
CO 80120-1207
Practice Telephone 5075252076
Mailing Telephone 5075252076
Enumeration Date 2019-03-05
Last Update Date 2019-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner APN.0994268-NP CO Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APN.0994268-NP CO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12605 E 16th Ave, Aurora, CO 800452545 7208480000
1500 Park Central Dr, Highlands Ranch, CO 801296688 5075252076

Office Location

Street Address 5618 S LOUTHAN ST
City LITTLETON
State CO
Zip Code 80120-1207

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1417929910 Jessica Thibodeau Nurse Practitioner 25 Mount Eustis Rd, Littleton, NH 03561-3712 2006-02-07
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Competitor

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City LITTLETON
Zip Code 80120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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