Individual provider · Type 1 NPI
Alisha L. Grimmage, APRN
Family Nurse Practitioner · St. Petersburg, FL
NPI number
1679137863
Active
Practice location
1750 16th St S Unit 35207
St. Petersburg, FL 33705-8009
Fax (727) 499-6912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9344489 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN9344489 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679137863
Alisha L. Grimmage, APRN's National Provider Identifier is 1679137863, issued on Apr 24, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 17, 2021.