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Individual
MRS. LINDA WILLIAMS GRENINGER
Active
Individual
MRS. LINDA WILLIAMS GRENINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
070921
NC
363LA2200X
Adult Health Nurse Practitioner
600084
NC
363LG0600X
Gerontology Nurse Practitioner
600084
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
600084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005042
—
NC
Enumeration date
01/01/2007
Last updated
06/29/2012
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