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NPI Code Detail

MEDICARE: ANGELA GRINER

MEDICARE: ANGELA GRINER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1477417038
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA GRINER
Provider Business Mailing Address
First Line : 317 W 6TH ST STE 208
Second Line :
City : MOSCOW
State : ID
Zip : 83843-2387
Country : US
Telephone Number : 208-882-3504
Fax Number : 877-935-2107
Provider Business Practice Location Address
First Line : 317 W 6TH ST STE 208
Second Line :
City : MOSCOW
State : ID
Zip : 83843-2387
Country : US
Telephone Number : 208-882-3504
Fax Number : 877-935-2107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ ANGELA GRINER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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