Individual
DEIRDRE C GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1421 LUISA ST STE I, SANTA FE, NM 87505-4073
(505) 982-8338
(505) 982-8393
Mailing address
1421 LUISA ST STE I, SANTA FE, NM 87505-4073
(505) 982-8338
(505) 982-8393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02335
NM
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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