Individual
MS. CYNTHIA M GRINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-6595
(860) 533-6594
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-6595
(860) 533-6594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002750
CT
363LF0000X
Family Nurse Practitioner
18495
SC
363LF0000X
Family Nurse Practitioner
192059
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247806
—
CT
05
—
1609855162
—
CT
Enumeration date
01/09/2006
Last updated
05/02/2022
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