Individual provider · Type 1 NPI

Lissette Grillo

Community Health Registered Nurse · Daytona Beach, FL

NPI number 1700668126 Active

Practice location

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Mailing address

690 Cheltenham Ave
Deltona, FL 32738-9008

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN9352671 (FL)

Community Health Registered Nurse: Definition to come...

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About NPI 1700668126

Lissette Grillo's National Provider Identifier is 1700668126, issued on Oct 19, 2023. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 19, 2023.