Individual provider · Type 1 NPI
Stacy Grissen, MSN, AGNP
Adult Health Nurse Practitioner · Encinitas, CA
NPI number
1861858482
Active
Practice location
285 N El Camino Real, Suite 204
Encinitas, CA 92024-5383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95003464 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | 95003464 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1861858482
Stacy Grissen, MSN, AGNP's National Provider Identifier is 1861858482, issued on Jan 12, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Encinitas, CA. The record was last updated on Jan 12, 2016.