Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9230919 | FL |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | CNP-01753 | NM |
N | 363LP0200X | Nurse Practitioner - Pediatrics | CS00216645 | NM |
NPI | 1023289717 |
---|---|
Provider Name | Ms. Kasey Lin Griego |
First Address | Rio Rancho, NM 87124 |
Second Address | Rio Rancho, NM 87124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 29/01/2014 |