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HomeProvidersHALEY GRANT CNP

Nurse Practitioner, Family

HALEY GRANT CNP

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1962040832 · enumerated 2019-12-11 · record updated 2026-09-25. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 957 BENJAMIN DR SE, RIO RANCHO, NM, 87124-1239 (580) 630-9500 Google Maps Apple Maps OpenStreetMap
Practice location 1202 MAIN ST NE, LOS LUNAS, NM, 87031-7409 (505) 565-0070 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner 363L00000X · License 18358 WI
Nurse Practitioner, Family 363LF0000X · License GAA-NP005219 GA
Psychiatry & Neurology, Neurology 2084N0400X · License GAA-NP005219 GA
Nurse Practitioner, Family 363LF0000X · Primary · License 55095 NM
Psychiatry & Neurology, Neurology 2084N0400X · License 5024413 NC

In this directory

NM Valencia County Los Lunas Nurse Practitioner, Family

Locations and evidence

Practice location LOS LUNAS, NM, 870317409
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.