Individual
MIKI N GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
64-1035 MAMALAHOA HWY STE K, KAMUELA, HI 96743-8440
(808) 885-9647
(808) 885-9647
Mailing address
64-1035 MAMALAHOA HWY, SUITE K, KAMUELA, HI 96738
(808) 885-9647
(808) 885-9647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN34158
HI
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN258
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52191501
—
HI
Enumeration date
10/12/2006
Last updated
07/21/2022
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