Individual
HANA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
7219 N LITCHFIELD RD, 56 MEDICAL GROUP, LUKE AFB, AZ 85309-1529
(623) 856-7982
Mailing address
7219 N LITCHFIELD RD, 56 MEDICAL GROUP, LUKE AFB, AZ 85309-1529
(623) 856-7982
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22474
CA
Other
Enumeration date
02/24/2012
Last updated
08/08/2013
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