Individual provider · Type 1 NPI
Georgina Giselle Grimm, FNP
Family Nurse Practitioner · Oakland, CA
NPI number
1104367739
Active
Practice location
9925 International Blvd, #5
Oakland, CA 94603-2558
Fax (510) 550-2644
Mailing address
5018 Shafter Ave
Oakland, CA 94609-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95006100 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104367739
Georgina Giselle Grimm, FNP's National Provider Identifier is 1104367739, issued on Mar 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oakland, CA. The record was last updated on Mar 15, 2017.