Individual
MRS. DEBRA LEE GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3632 AMERICAN WAY, CASPER, WY 82604-3632
(307) 233-7300
(307) 233-7301
Mailing address
3632 AMERICAN WAY A, MESA PRIMARY CARE, CASPER, WY 82604-3632
(307) 234-6765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21279.0310
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122920600
—
WY
01
—
24391
WINHEALTH
WY
01
—
314232
BCBS
WY
01
—
830220930-82001-B001
TRICARE
WY
Enumeration date
03/10/2006
Last updated
01/11/2016
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