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Individual
SUSAN K GRIGSBY
Active
Individual
SUSAN K GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C, CHPN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
689000
TX
363LG0600X
Gerontology Nurse Practitioner
2006010375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006010375
GERONTOLOGICAL NURSE PRAC
TX
01
—
6890000
RN BOARD OF EXAM
TX
Enumeration date
01/16/2007
Last updated
10/19/2016
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