|Active||Over 10 years ago|
|75 N COUNTRY RD
PORT JEFFERSON NY, 11777-2119, US
|12 MONITOR CT
CORAM NY, 11727-1634, US
|License State||New York|
|Remove 1912910910 NPI Number|
According to our database, Theresa Grimes FNP-BC NPI is 1912910910, taxonomy code is 363LF0000X and license number is F332400-1, license state is located at New York. Theresa Grimes FNP-BC physically located at 75 N Country Rd, Port Jefferson NY, 11777-2119. NPI Number Theresa Grimes FNP-BC has the Individual type.
1912910910 NPI number is provided on an as is basis without warranty of any kind. 1912910910 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Grimes FNP-BC are for informational purposes only.