Individual provider · Type 1 NPI

Ryan Matisse Grimes, NP

Pediatric Nurse Practitioner · Charlotte, NC

NPI number 1962867861 Active

Practice location

2608 E 7th St, Ste B
Charlotte, NC 28204-4375

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 301 Medical Park Dr, Ste 202B, Concord, NC 28025-2981 · (704) 403-2626
  • 709 N Dekalb St, Shelby, NC 28150-3911 · (980) 487-2100
  • 10650 Park Rd, Ste 480, Charlotte, NC 28210-8538 · (704) 667-8860
  • 709 N Dekalb St, Shelby, NC 28150-3911 · (704) 403-2626

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5009741 (NC)
Primary Care Nurse Practitioner 363LP2300X5009741 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X5009741 (NC)

Pediatric Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1962867861

Ryan Matisse Grimes, NP's National Provider Identifier is 1962867861, issued on Dec 18, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.