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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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