Provider Demographics
NPI:1588866693
Name:GRANT, MARGARET STRUDLEY (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:STRUDLEY
Last Name:GRANT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522
Mailing Address - Country:US
Mailing Address - Phone:970-482-8210
Mailing Address - Fax:970-482-8210
Practice Address - Street 1:HARTSHORN HEALTH SERVICE (STUDENT HEALTH)
Practice Address - Street 2:CALO STATE UNIVERSITY
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80522
Practice Address - Country:US
Practice Address - Phone:970-482-8210
Practice Address - Fax:970-482-8210
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38715163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health