Wanda Louise Grant, REGISTERED DIETITIAN is a
Dietitian, Registered based in Desert Hot Springs, California. Wanda Louise Grant is licensed to practice in Washington (license number 413840) and her current practice location is
8710 Clubhouse Blvd, Desert Hot Springs, California. She can be reached at her office (for appointments etc.) via phone at
(760) 668-9289.
NPI number for Wanda Louise Grant is 1487127114 and her current mailing address is 8710 Clubhouse Blvd, Desert Hot Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487127114.
Healthcare Provider's Profile
| Full Name | Wanda Louise Grant |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
|---|
| Location | 8710 Clubhouse Blvd, Desert Hot Springs, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487127114
- Provider Enumeration Date: 01/04/2019
- Last Update Date: 01/04/2019
Medical Identifiers
Medical identifiers for Wanda Louise Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487127114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 413840 (California) | Secondary |
| 133V00000X | Dietitian, Registered | 413840 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Louise Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wanda Louise Grant, REGISTERED DIETITIAN
8710 Clubhouse Blvd,
Desert Hot Springs, CA 92240-1166
Ph: (760) 668-9289 | Wanda Louise Grant, REGISTERED DIETITIAN
8710 Clubhouse Blvd,
Desert Hot Springs, CA 92240-1166
Ph: (760) 668-9289 |
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