Individual
LISA M GRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
28 SPRING ST # 5057, PRINCETON, NJ 08542-6901
(386) 449-9970
Mailing address
28 SPRING ST # 5057, PRINCETON, NJ 08542-6901
(386) 449-9970
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00759000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP11579
AZ
Other
Enumeration date
09/22/2017
Last updated
05/15/2026
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