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Mr. Douglas Nathanael Grimes, CNA
Student in an Organized Health Care Education/Training Program in Crestview, Florida
NPI 1104972108

Douglas Nathanael Grimes is a Student in an Organized Health Care Education/Training Program based in Crestview, FL. Douglas Nathanael Grimes practices in Crestview, FL and has the professional credentials of CNA. The NPI Number for Douglas Nathanael Grimes is 1104972108 and holds a License No. CNA 8761 (Florida).

The current practice location address for Douglas Nathanael Grimes is 138 Salvadore Dr, Crestview, FL and can be reached out via phone at 850-682-2433.

Location: 138 Salvadore Dr, Crestview, FL, 32536-1802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104972108
Provider Name
Douglas Nathanael Grimes
Credential
CNA
Provider Entity Type
Individual
Gender
Male
Address
138 Salvadore Dr, Crestview, FL, 32536-1802
Phone Number
850-682-2433
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
138 Salvadore Dr
City
Crestview
State
Florida
Zip
32536-1802
Phone Number
850-682-2433
Fax Number
person
Provider Business Mailing Address Details
Address
138 Salvadore Dr
City
Crestview
State
Florida
Zip
32536-1802
Phone Number
850-682-2433
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CNA 8761 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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