Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Prud'homme, RNFA

Individual provider Registered Nurse First Assistant · NPI 1598624918

Grant Prud'homme, RNFA is a Registered Nurse First Assistant in Ogdensburg, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

214 King St Ste A
Ogdensburg, NY 13669-1142
Phone: (315) 393-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 470560 (NY)

Record details

NPI number1598624918
Entity typeIndividual (Type 1)
GenderMale
Credentials RNFA
Sole proprietorYes
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026