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Individual

VICTORIA GRIMMETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
4624 LANSDOWNE AVE, SAINT LOUIS, MO 63116-1523
(314) 351-6888
Mailing address
1117 E A ST, BELLEVILLE, IL 62220-3923
(618) 550-4999

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
2025018394
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
209032312
IL

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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