IndividualActive
Brenda Grant, LPN
NPI 1164666178 · Licensed Practical Nurse · Florissant, MO
Provider details
- NPI number
- 1164666178
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2002028541 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
4585 Washington St
Suite A-4
Florissant, MO 63033-5858
Phone: (314) 402-4693
Approximate (ZIP-level) locationGet directions
Mailing address
3112 Cross Keys Place Dr
Florissant, MO 63033-3129
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2009-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.