MRS. KIMBERLY ANN GRUNDY APN NPI 1255579124

NPI Information

NPI: 1255579124
Provider Name: MRS. KIMBERLY ANN GRUNDY, APN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
800 MARSHALL ST # 512-3
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-1479
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MRS. Kimberly Ann Grundy, APN is a pediatrics nurse practitioner in Little Rock, AR. MRS. Kimberly Ann Grundy, APN NPI is 1255579124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 MARSHALL ST # 512-3
LITTLE ROCK, AR
ZIP 72202-510
Phone: (501) 364-1479

The enumeration date for this NPI number is 1/29/2009 and was last updated on 1/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	A03184	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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