Individual
DIAMOND GRIMES GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 COMPUTER DR, RALEIGH, NC 27609-6503
(919) 781-6200
Mailing address
232 FAWN HILL CT, GARNER, NC 27529-6525
(919) 227-9617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017959
NC
363L00000X
Nurse Practitioner
GRIM-E3OE6
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
5017959
NC
Other
Enumeration date
04/12/2023
Last updated
10/29/2024
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