Courtney Grassham
Nurse Practitioner - Neonatal
2211 Lomas Blvd Ne
Albuquerque
, New Mexico 87106-2719
Courtney Grassham
Nurse Practitioner - Neonatal
2211 Lomas Blvd Ne
Albuquerque
, New Mexico 87106-2719
(505) 272-3200
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Courtney Grassham
- 933 Bradbury Dr Se Suite 2222
- Albuquerque, NM
- Zip : 87106-4374
- Phone : (505) 272-3200
Second Address
- Courtney Grassham
- 2211 Lomas Blvd Ne
- Albuquerque, NM
- Zip : 87106-2719
- Fax : (505) 272-1196
- Phone : (505) 272-5551
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | R57182 | NM |
National Provider Identifier
| NPI | 1093983462 |
|---|---|
| Provider Name | Courtney Grassham |
| First Address | Albuquerque, NM 87106-4374 |
| Second Address | Albuquerque, NM 87106-2719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2008 |
| Last Update Date | 22/03/2017 |
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.