Individual
CRESENCIA ANCHETA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNNHCECPANACNPCAG
Contact information
Practice address
511 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 752-8880
(252) 317-2092
Mailing address
104 E SADDLE LN, HAVELOCK, NC 28532-2938
(252) 646-4820
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5012647
NC
363LA2200X
Adult Health Nurse Practitioner
5012647
NC
363LG0600X
Gerontology Nurse Practitioner
5012647
NC
Other
Enumeration date
12/27/2019
Last updated
02/20/2026
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