Bradley Grissom in Danville - Nurse Practitioner
Bradley Grissom - NPI 1891830402
Bradley Grissom is a Nurse Practitioner in Danville, Illinois. Bradley Grissom practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Bradley Grissom is 1891830402. The last update date is 2010-12-27.
Bradley Grissom's current location address is 2300 N. Vermilion Avenue, Danville, Illinois. You can contact this provider via phone number 2175541700 and fax number 2175541704. The mailing address for Bradley Grissom is 2300 N. Vermilion Avenue, Danville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley Grissom |
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Address | 2300 N. Vermilion Avenue, Danville, Illinois |
Phone Number | 2175541700 |
Fax Number | 2175541704 |
Sole Proprietor | N |
Credentials | N.P. |
NPI Number Detail
NPI Number | 1891830402 |
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Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2010-12-27 |
Provider Mailing Address Detail
Address | 2300 N. Vermilion Avenue |
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City | Danville |
State | Illinois (IL) |
Post Code | 61832 |
Phone Number | 2175541700 |
Fax Number | 2175541704 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 209005691 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Bradley Grissom by the Centers for Medicare & Medicaid Services?
The Bradley Grissom has been assigned the NPI (National Provider Identifier) 1891830402. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradley Grissom is geographically located?
The Bradley Grissom is physically situated at the following location: 2300 N. Vermilion Avenue, Danville, IL, 61832.
What is Bradley Grissom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley Grissom's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Bradley Grissom receive its 1891830402 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Grissom was assigned its 1891830402 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details pertaining to Bradley Grissom last refreshed?
The information related to the Bradley Grissom, including its address, specialty, and other relevant details, was last updated on 2010-12-27.