Individual
TYLER SUZANNE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPD, NCS
Contact information
Practice address
43 WARNER ST, NEWPORT, RI 02840-2042
(954) 802-2285
Mailing address
43 WARNER ST, NEWPORT, RI 02840-2042
(954) 802-2285
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374J00000X
Doula
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/03/2022
Last updated
09/08/2023
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