Individual
ALISHA L GRIMMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1750 16TH ST S UNIT 35207, SAINT PETERSBURG, FL 33705-8009
(813) 644-9372
(727) 499-6912
Mailing address
1750 16TH ST S UNIT 35207, ST PETERSBURG, FL 33705-8009
(813) 644-9372
(727) 499-6912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9344489
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9344489
FL
Other
Enumeration date
04/24/2019
Last updated
11/17/2021
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