Search › Connecticut › 164W00000X

Nickeshia Grant

NPI 1265259998 · on the registry since 2024 · sole proprietor

Practice

Address
26 Forest Ridge Rd
Waterbury, CT 06708
Phone
(914) 572-8683

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut