IndividualActive
Casey Granger, BSN, RN, MSN, APRN
NPI 1265277271 · Acute Care Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1265277271
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- BSN, RN, MSN, APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 209.029954 (IL)
Mailing address
611 W Park St
Urbana, IL 61801-2501
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.