Individual
DANIELLE DRAKE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8334
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-8334
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN2274528
MA
Other
Enumeration date
08/15/2012
Last updated
02/25/2020
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