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NPI Code Detail

MEDICARE: JENNIFER GRIEGO CNP

MEDICARE:   JENNIFER  GRIEGO  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
1363LF0000XFamily Nurse PractitionerCNP-02962NM

General Provider Information

NPI Number : 1336692508
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GRIEGO CNP
Provider Business Mailing Address
First Line : PO BOX 610
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-0610
Country : US
Telephone Number : 505-916-5151
Fax Number : 505-565-2272
Provider Business Practice Location Address
First Line : 311 S. LOS LENTES
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-0610
Country : US
Telephone Number : 505-916-5151
Fax Number : 505-565-2272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 07/25/2016

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Directions to “ JENNIFER GRIEGO CNP” Practice Location

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