Crystal Dawn Grisham, is a
Licensed Vocational Nurse based in Howe, Texas. Crystal Dawn Grisham is licensed to practice in Texas (license number 223901) and her current practice location is
116 N Western Hills Dr Apt 204a, Howe, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 821-0164.
NPI number for Crystal Dawn Grisham is 1447750138 and her current mailing address is 116 N Western Hills Dr Apt 204a, Howe, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447750138.
Provider's Profile
| Full Name | Crystal Dawn Grisham |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 116 N Western Hills Dr Apt 204a, Howe, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447750138
- Provider Enumeration Date: 02/19/2018
- Last Update Date: 02/19/2018
Medical Identifiers
Medical identifiers for Crystal Dawn Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447750138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 223901 (Texas) | 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. Crystal Dawn Grisham 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 |
|---|
Crystal Dawn Grisham,
116 N Western Hills Dr Apt 204a,
Howe, TX 75459-2878
Ph: (903) 821-0164 | Crystal Dawn Grisham,
116 N Western Hills Dr Apt 204a,
Howe, TX 75459-2878
Ph: (903) 821-0164 |
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