Individual provider · Type 1 NPI

Victoria Grimmett, NURSE PRACTITIONER

Gerontology Nurse Practitioner · St. Louis, MO

NPI number 1710871629 Active

Practice location

4624 Lansdowne Ave
St. Louis, MO 63116-1523

Mailing address

1117 E A St
Belleville, IL 62220-3923

Other practice locations

  • 1117 E A St, Belleville, IL 62220-3923 · (618) 550-4999

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X2025018394 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X209032312 (IL)

Gerontology Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1710871629

Victoria Grimmett, NURSE PRACTITIONER's National Provider Identifier is 1710871629, issued on Jun 5, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Jun 5, 2025.