Individual
BRITTANY NICOLE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-8100
(850) 243-0594
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8100
(850) 863-8548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-9322736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022573100
—
FL
01
—
EI8WT
BCBS FL
FL
01
—
NZ902
MEDICARE - FL
FL
Enumeration date
08/25/2017
Last updated
03/29/2023
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