Individual
GARYN GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1895 N JASPER DR STE 1, FLAGSTAFF, AZ 86001-1632
(928) 773-2332
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
320120
AZ
363LF0000X
Family Nurse Practitioner
320120
AZ
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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