Amos Richard Grim
Nurse Practitioner - Psychiatric/Mental Health
5974 Fashion Point Dr Ste 140
South Ogden
, Utah 84403-4838
Amos Richard Grim
Nurse Practitioner - Psychiatric/Mental Health
5974 Fashion Point Dr Ste 140
South Ogden
, Utah 84403-4838
(801) 683-1062
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Amos Richard Grim
- 415 Medical Dr Ste D101
- Bountiful, UT
- Zip : 84010-8905
- Phone : (801) 683-1062
Second Address
- Amos Richard Grim
- 5974 Fashion Point Dr Ste 140
- South Ogden, UT
- Zip : 84403-4838
- Fax : (801) 295-5537
- Phone : (801) 683-1062
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 1180631-8900 | UT |
National Provider Identifier
| NPI | 1013408806 |
|---|---|
| Provider Name | Amos Richard Grim |
| First Address | Bountiful, UT 84010-8905 |
| Second Address | South Ogden, UT 84403-4838 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2018 |
| Last Update Date | 17/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.