Individual provider · Type 1 NPI

Kaitlin Rose Grigoryev

Family Nurse Practitioner · Germantown, WI

NPI number 1619601770 Active

Practice location

N112W15415 Mequon Rd
Germantown, WI 53022-3410

Mailing address

400 W River Woods Pkwy
Glendale, WI 53212-1060

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X13152 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1619601770

Kaitlin Rose Grigoryev's National Provider Identifier is 1619601770, issued on Jul 14, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Germantown, WI. The record was last updated on Feb 15, 2024.