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Mrs. Larita Raye Grimmer, FNP-BC
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1578255915

Larita Raye Grimmer is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Larita Raye Grimmer practices in Indianapolis, IN and has the professional credentials of FNP-BC. The NPI Number for Larita Raye Grimmer is 1578255915 and holds a License No. 71013930A (Indiana).

The current practice location address for Larita Raye Grimmer is 2001 W 86Th St, Indianapolis, IN and can be reached out via phone at 317-338-2345.

Location: 2001 W 86Th St, Indianapolis, IN, 46260-1902
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Provider Profile Details
NPI Number
1578255915
Provider Name
Larita Raye Grimmer
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2001 W 86Th St, Indianapolis, IN, 46260-1902
Phone Number
317-338-2345
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71013930A 01 IN APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
2001 W 86Th St
City
State
Zip
46260-1902
Phone Number
317-338-2345
Fax Number
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Provider Business Mailing Address Details
Address
2001 W 86Th St
City
State
Zip
46260-1902
Phone Number
317-338-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71013930A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
71013930A (Indiana)
Definition
Definition to come...
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