Grimm, Loretta C

Grimm, Loretta C is an individual health care provider with primary practice located at 3073 White Mountain Hwy Diabetes Center At Memorial Hospital, North Conway NH 03860-7101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Diabetes Educator. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grimm, Loretta C can be contacted via phone (603) 356-0796.

Contact Information

Primary practice address
3073 White Mountain Hwy Diabetes Center At Memorial Hospital North Conway NH 03860-7101
Phone: (603) 356-0796
Fax: (603) 356-3257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN275756 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 053177-23 New Hampshire
Nursing Service Providers / Diabetes Educator 163WD0400X 053177-23 New Hampshire

Profile Details

NPI number 1558321844
LBN Legal business name Grimm, Loretta C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 8th, 2013 - about 12 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 1558321844 NPPES
Massachusetts MEDICAID 110083358A
Massachusetts MEDICAID 30342936

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