AMOS RICHARD GRIM NP NPI 1013408806

NPI Information

NPI: 1013408806
Provider Name: AMOS RICHARD GRIM, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5974 FASHION POINT DR STE 140
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 683-1062
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Amos Richard Grim, NP is a psychiatric/mental health nurse practitioner in South Ogden, UT. Amos Richard Grim, NP NPI is 1013408806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5974 FASHION POINT DR STE 140
SOUTH OGDEN, UT
ZIP 84403-838
Phone: (801) 683-1062
Fax: (801) 295-5537

The NPI 1013408806 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 12/17/2020.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1180631-8900	UTAH	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: 4/28/2024

NPI Synchronization or Removal

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