Neltie Curtis Grandstaff IV, RN
Individual provider Active NPI Registered Nurse · Cedar, MI
NPI 1841709045 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1841709045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704241635 (MI)
- Practice address
- 7135 E Hoxie Rd
Cedar, MI 49621 - Phone
- (231) 645-0712
- NPI assigned
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704241635 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704241635 | MI | Yes |
Addresses
Primary practice location
7135 E Hoxie Rd
Cedar, MI 49621
Mailing address
7135 E Hoxie Rd
Cedar, MI 49621-9414
Phone (231) 645-0712
Other providers in Cedar, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.