Gloria Grimblot, RDCSP is a
Dietitian, Registered - Nutrition, Pediatric based in Crescent City, California. Gloria Grimblot is licensed to practice in Nevada (license number 707433) and her current practice location is
800 E Washington Blvd, Crescent City, California. She can be reached at her office (for appointments etc.) via phone at
(707) 464-8511.
NPI number for Gloria Grimblot is 1912044504 and her current mailing address is 800 E Washington Blvd, Crescent City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912044504.
Healthcare Provider's Profile
Full Name | Gloria Grimblot |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Pediatric |
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Location | 800 E Washington Blvd, Crescent City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912044504
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gloria Grimblot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912044504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 707433 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria Grimblot is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gloria Grimblot, RDCSP 800 E Washington Blvd, Crescent City, CA 95531-8359 Ph: (707) 464-8511 | Gloria Grimblot, RDCSP 800 E Washington Blvd, Crescent City, CA 95531-8359 Ph: (707) 464-8511 |
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