Individual provider · Type 1 NPI
Gerome Alonzo Grivas, NP
Psychiatric/Mental Health Nurse Practitioner · Memphis, TN
NPI number
1497883607
Active
Practice location
3175 Lenox Park Blvd Ste 412
Memphis, TN 38115-4256
Mailing address
1118 Continentals Way
Belmont, CA 94002-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 17743 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12129 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497883607
Gerome Alonzo Grivas, NP's National Provider Identifier is 1497883607, issued on Mar 1, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Memphis, TN. The record was last updated on Dec 30, 2021.