Theresa Grimes is a Family in Port Jefferson, New York. Theresa Grimes practices all healthcare services and medical treatments related to Family. The NPI Number for Theresa Grimes is 1912910910. The last update date is 2011-02-04.
Theresa Grimes's current location address is 75 N Country Rd, Port Jefferson, New York. You can contact this provider via phone number 6314762847. The mailing address for Theresa Grimes is 75 N Country Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Grimes |
|---|---|
| Address | 75 N Country Rd, Port Jefferson, New York |
| Phone Number | 6314762847 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1912910910 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2011-02-04 |
Provider Mailing Address Detail
| Address | 75 N Country Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772119 |
| Phone Number | 6314762847 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | F332400-1 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1993700 | NY | -- |
Post Comment/ Review Below
What is the Theresa Grimes's 1912910910?
The Theresa Grimes's NPI (National Provider Identifier) Number is 1912910910. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Theresa Grimes is physically located?
The Theresa Grimes is situated at the following address: 75 N Country Rd, Port Jefferson, NY 117772119.
What is Theresa Grimes's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theresa Grimes is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did Theresa Grimes receive its 1912910910 assignment?
The Theresa Grimes was assigned its 1912910910 on 2006-08-14, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Theresa Grimes most recently updated or revised?
The details related to Theresa Grimes, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-04.