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Individual

COURTNEY GRASSHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 CEDAR ST SE STE 405, ALBUQUERQUE, NM 87106-4924
(505) 984-2560
Mailing address
201 CEDAR ST SE STE 405, ALBUQUERQUE, NM 87106-4924
(505) 984-2560

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
R57182
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP01360
NM

Other

Enumeration date
02/19/2008
Last updated
05/29/2024
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