person
Raegan Griscom
Primary Care Nurse Practitioner in Wilmington, Delaware
NPI 1932775004

Raegan Griscom is a Primary Care Nurse Practitioner based in Wilmington, DE and is specialized in Primary Care. Raegan Griscom practices in Wilmington, DE. The NPI Number for Raegan Griscom is 1932775004 and holds a License No. LP-0010421 (Delaware).

The current practice location address for Raegan Griscom is 1601 Kirkwood Hwy Fl 3, Wilmington, DE and can be reached out via phone at 302-994-5211.

Location: 1601 Kirkwood Hwy Fl 3, Wilmington, DE, 19805-1214
person
Provider Profile Details
NPI Number
1932775004
Provider Name
Raegan Griscom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 Kirkwood Hwy Fl 3, Wilmington, DE, 19805-1214
Phone Number
302-994-5211
Fax Number
Provider Enumeration Date
05/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 Kirkwood Hwy Fl 3
City
State
Zip
19805-4917
Phone Number
302-994-5211
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Kirkwood Hwy Fl 3
City
State
Zip
19805-4917
Phone Number
302-994-5211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
LP-0010421 (Delaware)
Definition
Definition to come...
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