Individual
BETHANY LYNNE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
400 PATROON CREEK BLVD STE 102, ALBANY, NY 12206-5015
(518) 445-4320
(518) 475-7050
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
002119
NY
Other
Enumeration date
11/30/2021
Last updated
08/23/2023
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