Individual
GRETCHEN ELIZABETH GRIMALDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 459-3500
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(682) 885-1855
(682) 885-7337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
157081
AK
367500000X
Certified Registered Nurse Anesthetist
799878
TX
Other
Enumeration date
01/30/2013
Last updated
12/18/2020
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