Mr Wayne Keith Grant, APRN is a
Nurse Practitioner - Family based in Taos Pueblo, New Mexico. Mr Wayne Keith Grant is licensed to practice in District Of Columbia (license number RN961075) and his current practice location is
1090 Goat Springs Rd, Taos Pueblo, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 758-4224.
NPI number for Mr Wayne Keith Grant is 1710326509 and his current mailing address is Po Box 1956, 1090 Goat Springs Rd, Taos Pueblo, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710326509.
Provider's Profile
Full Name | Mr Wayne Keith Grant |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 1090 Goat Springs Rd, Taos Pueblo, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710326509
- Provider Enumeration Date: 06/14/2013
- Last Update Date: 08/16/2013
Medical Identifiers
Medical identifiers for Mr Wayne Keith Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710326509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN961075 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Wayne Keith Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Wayne Keith Grant, APRN Po Box 1956, 1090 Goat Springs Rd, Taos Pueblo, NM 87571 Ph: (505) 758-4224 | Mr Wayne Keith Grant, APRN 1090 Goat Springs Rd, Taos Pueblo, NM 87571 Ph: (505) 758-4224 |
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