Individual
CIARRA GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 WABASH AVE, TERRE HAUTE, IN 47803-1678
(812) 238-7788
Mailing address
4001 WABASH AVE, TERRE HAUTE, IN 47803-1678
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28245013A
IN
363L00000X
Nurse Practitioner
Primary
28245013A
IN
Other
Enumeration date
05/17/2024
Last updated
08/07/2024
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