IndividualActive
Grant Virtue
NPI 1417360413 · Nurse's Aide · Vancouver, WA
Provider details
- NPI number
- 1417360413
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- NA.00755317 (CO)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15504 Ne 2nd St
Vancouver, WA 98684-3340
Phone: (407) 970-4450
Street-level locationGet directions
Mailing address
15504 Ne 2nd St
Vancouver, WA 98684-3340
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2014-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.