Search › Arizona › 2355S0801X
Shea Grant
NPI 1578020285 · on the registry since 2019
Practice
- Address
- 17958 W Brown St
Waddell, AZ 85355 - Phone
- (623) 535-5741
- Fax
- (623) 466-0760
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-28
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 Arizona