Healthcare Provider Details

I. General information

NPI: 1568983120
Provider Name (Legal Business Name): VALORIE ANN GRANT APRN,CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 GILBERT AVE
CINCINNATI OH
45206-1210
US

IV. Provider business mailing address

6530 TEAKWOOD CT
CINCINNATI OH
45224-2112
US

V. Phone/Fax

Practice location:
  • Phone: 833-378-4827
  • Fax:
Mailing address:
  • Phone: 513-379-9907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.020829
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: