Individual
MRS. HOLLY LYNN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9264539
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11006290
FL
Other
Enumeration date
02/18/2020
Last updated
03/16/2022
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