Peter Mark Granderson, APN, FNP-C - Nurse Practitioner in Siloam Springs, AR

Peter Mark Granderson, APN, FNP-C is a Nurse Practitioner - Family based in Siloam Springs, Arkansas. Peter Mark Granderson is licensed to practice in Arkansas (license number A03579) and his current practice location is 1500 N Mount Olive St, Suite 1, Siloam Springs, Arkansas. He can be reached at his office (for appointments etc.) via phone at (479) 524-8175.

NPI number for Peter Mark Granderson is 1750660528 and his current mailing address is 614 E Emma Avenue, Suite 300, Springdale, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750660528.

Contact Information

Peter Mark Granderson, APN, FNP-C
1500 N Mount Olive St, Suite 1,
Siloam Springs, AR 72761-9509
(479) 524-8175
(479) 524-8176



Provider's Profile

Full NamePeter Mark Granderson
GenderMale
SpecialityNurse Practitioner - Family
Location1500 N Mount Olive St, Siloam Springs, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750660528
  • Provider Enumeration Date: 08/11/2011
  • Last Update Date: 09/23/2016

Medical Identifiers

Medical identifiers for Peter Mark Granderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750660528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A03579 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Mark Granderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter Mark Granderson, APN, FNP-C
614 E Emma Avenue, Suite 300,
Springdale, AR 72764-4469

Ph: (479) 751-7417
Peter Mark Granderson, APN, FNP-C
1500 N Mount Olive St, Suite 1,
Siloam Springs, AR 72761-9509

Ph: (479) 524-8175

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› Verified 6 days ago


Nurse Practitioner Nurses in Siloam Springs, AR

Mr. Sam Simpson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3721 Highway 412 E Ste B, Siloam Springs, AR 72761
Phone: 479-215-3080    
Wendy Michelle Pyburn, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 603-2 N Progress Ave Ste 100, Siloam Springs, AR 72761
Phone: 479-524-9312    
Jennifer Smith, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3721 Highway 412 E Ste A, Siloam Springs, AR 72761
Phone: 479-215-3035    
Summer Lokey, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1700 E Quarter Rd, Siloam Springs, AR 72761
Phone: 479-238-1222    
Attrice Richards,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3609 N Robin Ct, Siloam Springs, AR 72761
Phone: 417-483-7758    
Mr. Jeremy Wayne Owen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 603 N Progress Ave, Siloam Springs, AR 72761
Phone: 479-524-4141    Fax: 479-549-2577
Ms. Vicki Hurley Moore, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761
Phone: 479-524-9550    Fax: 479-524-9552

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