Individual
MRS. PATRICIA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9106 PINE VIEW LN, CLINTON, MD 20735-3229
(301) 856-2930
Mailing address
2041 MARTIN LUTHER KING JR AVE SE, STE 303, WASHINGTON, DC 20020-7036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
487-661
NY
163W00000X
Registered Nurse
R181475
MD
363LF0000X
Family Nurse Practitioner
F332935-1
NY
363LF0000X
Family Nurse Practitioner
Primary
R181475
MD
Other
Enumeration date
09/15/2006
Last updated
08/15/2016
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