Individual
JOSEPH GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
132 FORAN CIR, FAIRBANKS, AK 99712-2404
(907) 750-2587
Mailing address
132 FORAN CIR, FAIRBANKS, AK 99712-2404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108130
AK
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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