Individual
MISS JOHANNA VICTORIA GRIMALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
1600 HARBOR BLVD APT 1415W, WEEHAWKEN, NJ 07086-6881
(716) 491-5594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20140300
NJ
163W00000X
Registered Nurse
748106
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432189
NY
363LA2100X
Acute Care Nurse Practitioner
F432189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07250333
—
NY
Enumeration date
12/06/2021
Last updated
05/13/2023
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