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NPI Code Detail

MEDICARE: KIMBERLY ANN GRISEZ CNP

MEDICARE:   KIMBERLY ANN GRISEZ  CNP
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
1363LA2200XAdult Health Nurse PractitionerSP010328PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942280227
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN GRISEZ CNP
Provider Business Mailing Address
First Line : 7180 HIGHLAND DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1206
Country : US
Telephone Number : 412-954-5137
Fax Number : 412-954-5159
Provider Business Practice Location Address
First Line : 7180 HIGHLAND DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1206
Country : US
Telephone Number : 412-954-5137
Fax Number : 412-954-5159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 04/21/2010

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Directions to “ KIMBERLY ANN GRISEZ CNP” Practice Location

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