Individual provider · Type 1 NPI
Douglas Nathanael Grimes, CNA
Student in an Organized Health Care Education/Training Program · Crestview, FL
NPI number
1104972108
Active
Practice location
138 Salvadore Dr
Crestview, FL 32536-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | CNA 8761 (FL) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Crestview
- Austin HarrisStudent in an Organized Health Care Education/Training Program Crestview, FL NPI 1083540025
- Jahara MooreStudent in an Organized Health Care Education/Training Program Crestview, FL NPI 1205732971
- Michelle Fitch, LPNStudent in an Organized Health Care Education/Training Program Crestview, FL NPI 1578203782
About NPI 1104972108
Douglas Nathanael Grimes, CNA's National Provider Identifier is 1104972108, issued on Jan 25, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Crestview, FL. The record was last updated on Jul 8, 2007.