Pam Sue Grassmidt in Modesto - Nurse Practitioner
Pam Sue Grassmidt - NPI 1073735163
Pam Sue Grassmidt is a Nurse Practitioner in Modesto, California. Pam Sue Grassmidt practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Pam Sue Grassmidt is 1073735163. The last update date is 2007-07-08.
Pam Sue Grassmidt's current location address is 1552 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095214372 and fax number 2095232005. The mailing address for Pam Sue Grassmidt is 1552 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pam Sue Grassmidt |
|---|---|
| Address | 1552 Coffee Rd, Modesto, California |
| Phone Number | 2095214372 |
| Fax Number | 2095232005 |
| Sole Proprietor | N |
| Credentials | RNC |
NPI Number Detail
| NPI Number | 1073735163 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1552 Coffee Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953553107 |
| Phone Number | 2095214372 |
| Fax Number | 2095232005 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 332355 |
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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 10-digit identification code issued to Pam Sue Grassmidt by the Centers for Medicare & Medicaid Services?
The Pam Sue Grassmidt has been assigned the NPI (National Provider Identifier) 1073735163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Pam Sue Grassmidt's facilities are geographically located?
The facilities of Pam Sue Grassmidt are physically situated at the following location: 1552 Coffee Rd, Modesto, CA, 953553107.
What is the Pam Sue Grassmidt's area of specialization and corresponding taxonomy classification?
The Pam Sue Grassmidt's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1073735163 assigned to Pam Sue Grassmidt?
The Pam Sue Grassmidt was issued its 1073735163 on 2007-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Pam Sue Grassmidt most recently updated or revised?
The details related to Pam Sue Grassmidt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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