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

Individual provider Acute Care Nurse Practitioner · NPI 1134882079

Tina Grant, AGACNP-BC is a Nurse Practitioner in Denver, Colorado. Qualified in 2020, 6 years ago. Practices with Magnolia Rehabilitation Consultants Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1265 S Broadway
Denver, CO 80210-1503
Phone: (303) 894-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 996196 (CO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 996196 (CO)

Record details

NPI number1134882079
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Magnolia Rehabilitation Consultants Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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