Individual
MRS. NICOLE LEE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5409 VERN HOLMES DR, STEVENS POINT, WI 54482-8853
(715) 342-1185
Mailing address
5409 VERN HOLMES DR, STEVENS POINT, WI 54482-8853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184270-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7803-33
WI
363LX0106X
Occupational Health Nurse Practitioner
7803-33
WI
Other
Enumeration date
02/10/2012
Last updated
11/11/2025
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