Person Information

Name:DONNA M GRANDIZIO

Address Information

Address(city state zipcode):SOUTHAMPTON PA18966

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Family HealthNumber:UP006083B
Profession:NursingStatus:ActiveDate This Status:
Issue Date:9/15/1999Expires:4/30/2017Last Renewed:3/1/2015

Prerequisite Information

Licensee:GRANDIZIO, DONNA MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:891Status:Agreement Terminated
Date of Association:Date of Expiration:

Licensee:GRANDIZIO, DONNA MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:002741Status:Expired
Date of Association:Date of Expiration:

Licensee:GRANDIZIO, DONNA MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:002984Status:Active
Date of Association:Date of Expiration:

Licensee:GRANDIZIO, DONNA MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:019968Status:Expired
Date of Association:Date of Expiration:

Licensee:GRANDIZIO, DONNA MRelationship:Self Automatic
Type:Registered NurseNumber:RN271062LStatus:Active
Date of Association:Date of Expiration:

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