Individual
MATTHEW GRINDSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-5551
(505) 272-6845
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 414-1035
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1060421
TX
363LN0000X
Neonatal Nurse Practitioner
54906
NM
Other
Enumeration date
02/20/2019
Last updated
05/09/2022
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