Individual
CHALLIS A. GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
917 RINEHART RD, SUITE 2041, LAKE MARY, FL 32746-4802
(407) 804-6133
(321) 283-4332
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9176451
FL
Other
Enumeration date
10/04/2011
Last updated
03/30/2015
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