Individual
KAYLA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3265
Mailing address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3265
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407129
NY
Other
Enumeration date
04/23/2025
Last updated
07/22/2025
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