Lorraine Susan Grimes, CFNP

Individual provider Active NPI Family Nurse Practitioner · Hockessin, DE

NPI 1093923906 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093923906
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
LG0000223 (DE)
Practice address
720 Yorklyn Rd
Suite 10
Hockessin, DE 19707-8728
Phone
(302) 234-9305
Fax
(302) 234-9306
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LG0000223DEMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG0000223 DE Yes

Addresses

Primary practice location

720 Yorklyn Rd
Suite 10
Hockessin, DE 19707-8728

Mailing address

5406 Crestline Rd
Wilmington, DE 19808-3654
Phone (302) 368-0701

Other providers in Hockessin, DE

All providers in Hockessin, DE · Family Nurse Practitioner in Delaware

Sources for this page

Verify at the official NPI Registry.