Individual
ANNMARIE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1543 TOD AVE SW, JEFFERSON SCHOOL PK-8, WARREN, OH 44485
(330) 675-6960
(330) 675-6961
Mailing address
1543 TOD AVE, SW, JEFFERSON PK-8 SCHOOL, WARREN, OH 44485
(330) 675-6960
(330) 675-6961
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21128909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IRN009112
—
OH
Enumeration date
04/28/2016
Last updated
04/28/2016
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