MEDICARE: GRANTING WELLNESS LLC

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
1	174H00000X	Health Educator
2	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1134910995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANTING WELLNESS LLC

Provider Business Mailing Address
First Line	:	5000 THAYER CTR STE C
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-1139
Country	:	US
Telephone Number	:	410-994-7646
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 COVE POINT WAY
Second Line	:
City	:	PERRYVILLE
State	:	MD
Zip	:	21903-2567
Country	:	US
Telephone Number	:	410-994-7646
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	RAHMAH GRANT
Credential	:	NURSE PRACTITIONER
Telephone Number	:	410-994-7646

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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Directions to “GRANTING WELLNESS LLC ” Practice Location

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