Individual provider · Type 1 NPI
Danielle Drake Grimm, NP
Obstetrics & Gynecology Nurse Practitioner · Roxbury, MA
NPI number
1487902979
Active
Practice location
45 Dimock St
Roxbury, MA 02119-1208
Fax (617) 541-8334
Mailing address
55 Dimock St
Roxbury, MA 02119-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | RN2274528 (MA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1487902979
Danielle Drake Grimm, NP's National Provider Identifier is 1487902979, issued on Aug 15, 2012. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Roxbury, MA. The record was last updated on Feb 25, 2020.