Individual provider · Type 1 NPI

Challis Amanda Beven Grimm, ARNP

Family Nurse Practitioner · Lake Mary, FL

NPI number 1659655074 Active

Practice location

917 Rinehart Rd, Suite 2041
Lake Mary, FL 32746-4802

Call (407) 804-6133 Map

Fax (321) 283-4332

Mailing address

3481 Cornell Ter
Deltona, FL 32738-1250

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	ARNP9176451 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1659655074

Challis Amanda Beven Grimm, ARNP's National Provider Identifier is 1659655074, issued on Oct 4, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Mary, FL. The record was last updated on May 18, 2026.