Teresa G Grimes in Lake Mills - Physician Assistant
Teresa G Grimes - NPI 1619024494
Teresa G Grimes is a Physician Assistant in Lake Mills, Wisconsin. Teresa G Grimes practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Teresa G Grimes is 1619024494. The last update date is 2007-07-08.
Teresa G Grimes's current location address is N6480 Shorewood Meadows Dr, Lake Mills, Wisconsin. You can contact this provider via phone number 9206484380. The mailing address for Teresa G Grimes is N6480 Shorewood Meadows Dr, Lake Mills, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa G Grimes |
|---|---|
| Address | N6480 Shorewood Meadows Dr, Lake Mills, Wisconsin |
| Phone Number | 9206484380 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619024494 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N6480 Shorewood Meadows Dr |
|---|---|
| City | Lake Mills |
| State | Wisconsin (WI) |
| Post Code | 535519730 |
| Phone Number | 9206484380 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 994-023 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41958600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Teresa G Grimes by the Centers for Medicare & Medicaid Services?
The Teresa G Grimes has been issued the NPI (National Provider Identifier) 1619024494, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Teresa G Grimes is physically located?
The Teresa G Grimes is physically situated at the following address: N6480 Shorewood Meadows Dr, Lake Mills, WI, 535519730.
What is Teresa G Grimes's area of expertise and its corresponding taxonomy classification?
The Teresa G Grimes's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1619024494 assigned to Teresa G Grimes?
The Teresa G Grimes was issued its 1619024494 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Teresa G Grimes most recently updated?
The details pertaining to the Teresa G Grimes, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN