Individual provider · Type 1 NPI
Nichole Suzanne Grimm, NP
Family Nurse Practitioner · Sandpoint, ID
NPI number
1669756813
Active
Practice location
423 N 3rd Ave Ste 201
Sandpoint, ID 83864-1511
Mailing address
PO Box 1343
Sandpoint, ID 83864-0863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1113A (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669756813
Nichole Suzanne Grimm, NP's National Provider Identifier is 1669756813, issued on Oct 6, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sandpoint, ID. The record was last updated on Oct 23, 2024.