Grimsrud, Nancy E

Grimsrud, Nancy E is an individual health care provider with primary practice located at 700 Chief Eddie Hoffman Highway , Bethel AK 99559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grimsrud, Nancy E can be contacted via phone (907) 543-6563.

Contact Information

Primary practice address
700 Chief Eddie Hoffman Highway Bethel AK 99559
Phone: (907) 543-6563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R0927633 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1083 Alaska

Profile Details

NPI number 1417062498
LBN Legal business name Grimsrud, Nancy E
Credentials RN CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 21st, 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 1417062498 NPPES
Minnesota MEDICAID 081718000

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