Grimaud, Kathleen

Grimaud, Kathleen is an individual health care provider with primary practice located at 469 Migeon Ave , Torrington CT 06790-4643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grimaud, Kathleen can be contacted via phone (860) 489-0931.

Contact Information

Primary practice address
469 Migeon Ave Torrington CT 06790-4643
Phone: (860) 489-0931
Fax: (860) 489-3325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000298 Connecticut

Profile Details

NPI number 1992772297
LBN Legal business name Grimaud, Kathleen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Nov 14th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992772297 NPPES
Connecticut Other 071834 MEDICARE LEGACY #
Connecticut MEDICAID 004247872 MEDICARE LEGACY #

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