Linda Carol Grissom N.P.

NPI 1710971072 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1710971072
Gender Female
Enumeration Date 09/01/2005
Last Updated 09/21/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
3740 E SOUTHERN AVE
SUITE 207
MESA AZ, 85206-2567, US
Phone (480) 325-0313
Fax (480) 324-0631
Business Location
3740 E SOUTHERN AVE
SUITE 207
MESA AZ, 85206-2567, US
Phone (480) 325-0313
Fax (480) 324-0631
Toxanomy
Taxonomy Code 363LA2200X
License State Arizona
License Number RN040340
Remove 1710971072 NPI Number
 

According to our database, Mrs. Linda Carol Grissom N.P. NPI is 1710971072, taxonomy code is 363LA2200X and license number is RN040340, license state is located at Arizona. Linda Carol Grissom N.P. physically located at 3740 E Southern Ave, Mesa AZ, 85206-2567. NPI Number Linda Carol Grissom N.P. has the Individual type.

Sponsored links

1710971072 NPI number is provided on an as is basis without warranty of any kind. 1710971072 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Carol Grissom N.P. are for informational purposes only.