Search › New Mexico › 363LF0000X
Wayne Grant, APRN
NPI 1710326509 · on the registry since 2013
Practice
- Address
- 1090 Goat Springs Rd
Taos Pueblo, NM 87571 - Phone
- (505) 758-4224
- Fax
- (505) 751-5210
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-16
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 New Mexico