Individual
DARLA A GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1807 SLAUGHTER LANE # 490, AUSTIN, TX 78748-6237
(512) 282-8967
(512) 406-7351
Mailing address
4515 SETON CENTER PKWY, SUITE 215, AUSTIN, TX 78759-5290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
664729
TX
363LF0000X
Family Nurse Practitioner
664729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282288401
—
TX
Enumeration date
08/17/2010
Last updated
02/20/2017
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