Stephen Grantham, RN is a
Registered Nurse based in Vilonia, Arkansas. Stephen Grantham is licensed to practice in Arkansas (license number R095593) and his current practice location is
39 Ridgewood Loop, Vilonia, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 912-6884.
NPI number for Stephen Grantham is 1043679129 and his current mailing address is 39 Ridgewood Loop, Vilonia, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043679129.
Provider's Profile
| Full Name | Stephen Grantham |
|---|
| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 39 Ridgewood Loop, Vilonia, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043679129
- Provider Enumeration Date: 02/17/2016
- Last Update Date: 02/17/2016
Medical Identifiers
Medical identifiers for Stephen Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043679129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R095593 (Arkansas) | 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. Stephen Grantham 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 |
|---|
Stephen Grantham, RN
39 Ridgewood Loop,
Vilonia, AR 72173-8058
Ph: (501) 912-6884 | Stephen Grantham, RN
39 Ridgewood Loop,
Vilonia, AR 72173-8058
Ph: (501) 912-6884 |
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