Individual provider · Type 1 NPI

Cresencia Ancheta Grimm, MSNNHCECPANACNPCAG

Acute Care Nurse Practitioner · Greenville, NC

NPI number 1306485008 Active

Practice location

511 Paladin Dr
Greenville, NC 27834-7826

Fax (252) 317-2092

Mailing address

104 E Saddle Ln
Havelock, NC 28532-2938

Other practice locations

  • 1302 Medical Center Dr, Wilmington, NC 28401-7503 · (910) 343-9800

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X5012647 (NC)
Acute Care Nurse Practitioner Primary 363LA2100X5012647 (NC)
Adult Health Nurse Practitioner 363LA2200X5012647 (NC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1306485008

Cresencia Ancheta Grimm, MSNNHCECPANACNPCAG's National Provider Identifier is 1306485008, issued on Dec 27, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Greenville, NC. The record was last updated on Feb 20, 2026.