Individual
MICHELE M GRIGAITIS-REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-4856
(602) 406-3369
Mailing address
901 E WILLETTA ST, PHOENIX, AZ 85006-2727
(602) 839-3097
(602) 839-6906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2077
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916603
—
AZ
Enumeration date
08/24/2006
Last updated
02/01/2016
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