Laura Grantham, PAC

Individual Active
NPI 1609171347
Medical Physician Assistant Mount Vernon, WA

NPI 1609171347 belongs to Laura Grantham, PAC, a medical physician assistant with a practice location in Mount Vernon, WA. The NPI was issued on January 11, 2011, and the record was last updated in NPPES on September 22, 2021. The record lists 3 taxonomy codes. 2 additional practice locations are listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA60617391 (WA)
Athletic Trainer 2255A2300X AL2999 (FL)
Physician Assistant 363A00000X PA60617391 (WA)

Practice locations

2320 Freeway Dr
Mount Vernon, WA 98273-5445
Phone: (360) 428-2550
3823 172nd St NE
Arlington, WA 98223-7735
Phone: (360) 428-2550
1400 E. Kincaid Street
Mount Vernon, WA 98274-4127
Phone: (360) 428-2550

Local context

Active NPPES records list 49 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 23 of them within 10 miles.

The same primary taxonomy is listed by 1,094 in Washington and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Laura S. Grantham
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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