Individual
FAYE BETH GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1838 GREENE TREE RD, SUITE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Mailing address
PO BOX 64589, BALTIMORE, MD 21264-4589
(410) 602-7782
(410) 602-2438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R174079
MD
Other
Enumeration date
05/07/2012
Last updated
06/06/2012
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