Individual provider · Type 1 NPI

Mary Catherine Grissom, APRN

Acute Care Nurse Practitioner · Orlando, FL

NPI number 1730780354 Active

Practice location

1115 E Ridgewood St
Orlando, FL 32803-5443

Mailing address

326 N Mills Ave
Orlando, FL 32803-5734

Other practice locations

  • 2093 Appalachee Cir, Tavares, FL 32778-2001 · (352) 455-2215

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAPRN11009353 (FL)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN11009353 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1730780354

Mary Catherine Grissom, APRN's National Provider Identifier is 1730780354, issued on Nov 2, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Orlando, FL. The record was last updated on Aug 8, 2024.