Individual
IVAN GRENIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5673 SW 137TH AVE, MIAMI, FL 33183-1101
(305) 385-3949
Mailing address
14104 SW 42ND TER, MIAMI, FL 33175-3644
(786) 587-4549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11008772
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11008772
FL
Other
Enumeration date
08/26/2020
Last updated
05/21/2025
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