Grissom, Linda Carol
Grissom, Linda Carol is an sole proprietor health care provider with primary practice located at 3740 E Southern Ave Suite 207, Mesa AZ 85206-2567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Grissom, Linda Carol can be contacted via phone (480) 325-0313.Contact Information
Primary practice address
3740 E Southern Ave Suite 207
Mesa AZ 85206-2567
Phone: (480) 325-0313
Fax: (480) 324-0631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN040340 | Arizona |
Profile Details
| NPI number | 1710971072 |
|---|---|
| LBN Legal business name | Grissom, Linda Carol |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Sep 21st, 2010 - 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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