Individual
MIRANDA D GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
116 BIBLE XING, DECHERD, TN 37324-3886
(319) 681-2369
(931) 968-1241
Mailing address
116 BIBLE XING, DECHERD, TN 37324-3886
(319) 681-2369
(931) 968-1241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
178965
CO
363L00000X
Nurse Practitioner
Primary
28561
TN
363L00000X
Nurse Practitioner
APN.0990080-NP
CO
Other
Enumeration date
01/06/2011
Last updated
03/17/2021
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