Individual provider · Type 1 NPI
Heather L. Grillo, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1174854285
Active
Practice location
51 N 39th St, 245 Wright Saunders
Philadelphia, PA 19104-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 25MP00230300 (NJ) |
| Medical Physician Assistant Primary | 363AM0700X | MA054199 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1174854285
Heather L. Grillo, PA-C's National Provider Identifier is 1174854285, issued on Jan 29, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on May 29, 2015.