Individual
MICHELLE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
472 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5102
(314) 343-5061
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109025
MO
363LF0000X
Family Nurse Practitioner
Primary
2017003913
MO
Other
Enumeration date
01/03/2017
Last updated
09/16/2024
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