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Individual

MAYDEL GRINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
625 6TH AVE S STE 430, ST PETERSBURG, FL 33701-4629
(727) 553-7273
(727) 553-7275
Mailing address
625 6TH AVE S STE 430, ST. PETERSBURG, FL 33701
(502) 302-1062

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11023394
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11023394
FL

Other

Enumeration date
12/06/2022
Last updated
07/05/2023
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