Gretchen Elizabeth Grimaldos, CRNA | |
1650 Cowles St, Fairbanks, AK 99701-5907 | |
(907) 459-3500 | |
Not Available |
Full Name | Gretchen Elizabeth Grimaldos |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1650 Cowles St, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962740605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 157081 (Alaska) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 799878 (Texas) | Secondary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Gretchen Elizabeth Grimaldos, CRNA Po Box 73720, Fairbanks, AK 99707-3720 Ph: (682) 885-1855 | Gretchen Elizabeth Grimaldos, CRNA 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 459-3500 |
Shane Richard Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-452-8181 | |
Margaret Claire Quirion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3000 | |
Mr. Danny Joe Roth, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-388-6852 | |
Priscilla Stoddard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618 | |
Brittany Marie Hosler Belknap, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Ms. Kathryn Marlene Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 202, Fairbanks, AK 99701 Phone: 907-452-4101 | |
Michaela Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618 |