Grimes, Joyce M

Grimes, Joyce M is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pediatrics, Worcester MA 01655-0002. 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. Grimes, Joyce M can be contacted via phone (508) 856-5794.

Contact Information

Primary practice address
55 Lake Ave N Department Of Pediatrics Worcester MA 01655-0002
Phone: (508) 856-5794
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 150046 Massachusetts

Profile Details

NPI number 1811960107
LBN Legal business name Grimes, Joyce M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1811960107 NPPES
Massachusetts MEDICAID 0349020

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