IndividualActive
Blair Grant
NPI 1720142151 · Adult Health Nurse Practitioner · Centennial, CO
Provider details
- NPI number
- 1720142151
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 122525 (CO)
Practice location
6465 Greenwood Plaza Blvd
Suite 300
Centennial, CO 80111-4905
Phone: (303) 267-3596
Mailing address
5335 Flying S Ln
Colorado Springs, CO 80915-2400
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.