Individual
LORETTA C GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, DIABETES CENTER AT MEMORIAL HOSPITAL, NORTH CONWAY, NH 03860-7101
(603) 356-0796
(603) 356-3257
Mailing address
PO BOX 5001, DIABETES CENTER AT MEMORIAL HOSPITAL, NORTH CONWAY, NH 03860-5001
(603) 356-0796
(603) 356-3257
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
053177-23
NH
363L00000X
Nurse Practitioner
Primary
053177-23
NH
363L00000X
Nurse Practitioner
RN275756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083358A
—
MA
05
—
30342936
—
NH
Enumeration date
03/23/2006
Last updated
05/08/2013
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