Individual
PROF. JEANNE MARIE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56444
WV
367500000X
Certified Registered Nurse Anesthetist
RN521925L
PA
Other
Enumeration date
02/10/2006
Last updated
11/16/2011
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