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General NPI Number Information
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NPI Number | 1003568551
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Entity Type | Individual
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Provider Name | ERICA GRANTEED AG-ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1341 CONNECTICUT AVE NW STE 4.2
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City | WASHINGTON
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State | DC
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Zip | 20036-1890
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Country | US
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Telephone | 202-800-0612
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Fax |
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Provider Business Mailing Address
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Address Line | 15628 WHISPERING KNOLL CT
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City | HILLSBORO
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State | VA
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Zip | 20132-2569
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Country | US
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Telephone | 954-547-5150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | C-RXN.0102427-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 13233
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | LP-0010830
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 277.004278
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 0024183550
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | GAA-NP001289
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 78515
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | AC004122
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1030091
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License Number State | DC
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0031040
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11018357
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 33395
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License Number State | TN
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Taxonomy #13
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3-001856
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License Number State | AL
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Taxonomy #14
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 316652
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License Number State | AZ
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Taxonomy #15
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 230753
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License Number State | AR
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