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NPI Code Detail

MEDICARE: GRANITE VNA, INC.

MEDICARE: GRANITE VNA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1679405922
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANITE VNA, INC.
Provider Business Mailing Address
First Line : 30 PILLSBURY ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-3502
Country : US
Telephone Number : 603-224-4093
Fax Number : 603-227-7522
Provider Business Practice Location Address
First Line : 30 PILLSBURY ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-3502
Country : US
Telephone Number : 603-224-4093
Fax Number : 603-227-7522
Authorized Official
Title or Position : CORPORATE COMPLIANCE OFFICER
Name : LORI NASH
Credential : MSM
Telephone Number : 603-224-4093
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “GRANITE VNA, INC. ” Practice Location

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