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NPI Code Detail

MEDICARE: MRS. REBECCA ANN FARRELL GRINSELL LNP

MEDICARE: MRS. REBECCA ANN FARRELL GRINSELL LNP
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
1363LP2300XPrimary Care Nurse Practitioner0024176938VA
2207Q00000XFamily Medicine Physician0024176938VA

General Provider Information

NPI Number : 1912477043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ANN FARRELL GRINSELL LNP
Provider Business Mailing Address
First Line : 3900 WESTERRE PKWY STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1339
Country : US
Telephone Number : 804-578-7442
Fax Number : 804-215-0454
Provider Business Practice Location Address
First Line : 3900 WESTERRE PKWY STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1339
Country : US
Telephone Number : 804-578-7442
Fax Number : 804-215-0454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2018
Last Update Date : 12/09/2025

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