Individual
ALLYSON R GRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1015 S MOUNT CARMEL PL, PITTSBURG, KS 66762-6604
(620) 232-5581
Mailing address
1015 S MOUNT CARMEL PL, PITTSBURG, KS 66762-6604
(620) 232-5581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77872
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201263100A
—
KS
Enumeration date
08/08/2017
Last updated
05/24/2023
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