IndividualActive
Alexander Grandt
NPI 1689687295 · Family Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1689687295
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 209.006172 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1109 S Lincoln Ave
Urbana, IL 61801-4703
Phone: (217) 333-2711
Approximate (ZIP-level) locationGet directions
Mailing address
1109 S Lincoln Ave
Urbana, IL 61801-4703
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.