Mrs. Joyce Elizabeth Grimm
Nurse Practitioner - Gerontology
2567 W Grand Blvd
Detroit
, Michigan 48208-1235
Mrs. Joyce Elizabeth Grimm
Nurse Practitioner - Gerontology
2567 W Grand Blvd
Detroit
, Michigan 48208-1235
(586) 247-6279
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Joyce Elizabeth Grimm
- 15224 Haverhill Dr
- Macomb, MI
- Zip : 48044-1933
- Phone : (586) 247-6279
Second Address
- Mrs. Joyce Elizabeth Grimm
- 2567 W Grand Blvd
- Detroit, MI
- Zip : 48208-1235
- Phone : (313) 895-5340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 4704171005 | MI |
National Provider Identifier
| NPI | 1073633913 |
|---|---|
| Provider Name | Mrs. Joyce Elizabeth Grimm |
| First Address | Macomb, MI 48044-1933 |
| Second Address | Detroit, MI 48208-1235 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2007 |
| Last Update Date | 08/07/2007 |
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.