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NPI Code Detail

MEDICARE: MR. DARREN M GRIMMER

MEDICARE:  MR. DARREN M GRIMMER
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
1172V00000XCommunity Health WorkerNM

General Provider Information

NPI Number : 1790634798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARREN M GRIMMER
Provider Business Mailing Address
First Line : 3327 CAMINITO QUINTANA
Second Line :
City : SANTA FE
State : NM
Zip : 87507-2889
Country : US
Telephone Number : 505-670-9356
Fax Number :
Provider Business Practice Location Address
First Line : 3327 CAMINITO QUINTANA
Second Line :
City : SANTA FE
State : NM
Zip : 87507-2889
Country : US
Telephone Number : 505-670-9356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ MR. DARREN M GRIMMER ” Practice Location

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