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NPI Code Detail

MEDICARE: MARIGOLD JOYCE GRINO NP

MEDICARE:   MARIGOLD JOYCE  GRINO  NP
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
1363LF0000XFamily Nurse Practitioner824612NV

General Provider Information

NPI Number : 1124913579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIGOLD JOYCE GRINO NP
Provider Business Mailing Address
First Line : 601 S RANCHO DR STE A6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4898
Country : US
Telephone Number : 702-475-9915
Fax Number : 725-315-6394
Provider Business Practice Location Address
First Line : 601 S RANCHO DR STE A6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4898
Country : US
Telephone Number : 702-475-9915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 12/04/2025

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Directions to “ MARIGOLD JOYCE GRINO NP” Practice Location

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