person
Nichole Suzanne Grimm, NP
Family Nurse Practitioner in Ponderay, Idaho
NPI 1669756813

Nichole Suzanne Grimm is a Family Nurse Practitioner based in Ponderay, ID and is specialized in Family. Nichole Suzanne Grimm practices in Ponderay, ID and has the professional credentials of NP. The NPI Number for Nichole Suzanne Grimm is 1669756813 and holds a License No. NP-1113A (Idaho).

The current practice location address for Nichole Suzanne Grimm is 30544 Highway 200, Ponderay, ID and can be reached out via phone at 208-263-6300 and via fax at 208-263-6355. You can also correspond with Nichole Suzanne Grimm through the mailing address at 30544 HIGHWAY 200, PONDERAY, ID - 83852-5005 (mailing address contact number: 208-263-6300).

Location: 30544 Highway 200, Ponderay, ID, 83852-5005
person
Provider Profile Details
NPI Number
1669756813
Provider Name
Nichole Suzanne Grimm
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
30544 Highway 200, Ponderay, ID, 83852-5005
Phone Number
208-263-6300
Fax Number
208-263-6355
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200
City
State
Zip
83852-5005
Phone Number
208-263-6300
Fax Number
208-263-6355
person
Provider Business Mailing Address Details
Address
30544 Highway 200
City
State
Zip
83852-5005
Phone Number
208-263-6300
Fax Number
208-263-6355
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-1113A (Idaho)
Definition
Definition to come...
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