Individual
BETH NICHOLE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A163637
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A163637
LICENSE NUMBER
IA
Enumeration date
07/26/2021
Last updated
11/03/2021
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