Individual
MEGAN ANASTASIA GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
600 PETERSON PKWY, NEW LONDON, MN 56273-7823
(320) 354-2222
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-5157
(320) 634-2244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6003
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP6003
MN BOARD OF NURSING APRN LICENSE
MN
Enumeration date
07/23/2018
Last updated
01/06/2020
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