Grismore, Katy

Grismore, Katy is an individual health care provider with primary practice located at 1001 Hadley Rd Ste Ll050 , Mooresville IN 46158-1883. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grismore, Katy can be contacted via phone (317) 834-3502.

Contact Information

Primary practice address
1001 Hadley Rd Ste Ll050 Mooresville IN 46158-1883
Phone: (317) 834-3502
Fax: (317) 834-3519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28197474A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006027A Indiana

Profile Details

NPI number 1740646520
LBN Legal business name Grismore, Katy
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2016
Last updated Jul 31st, 2023 - about 2 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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