Mrs Nicole Harris Grimes, APRN, FNP-C | |
912 E 5th St, Odessa, TX 79761-4605 | |
(432) 334-0613 | |
Not Available |
Full Name | Mrs Nicole Harris Grimes |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 912 E 5th St, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881346153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F12210208 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1073052 (Texas) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Harris Grimes, APRN, FNP-C 912 E 5th St, Odessa, TX 79761-4605 Ph: (432) 334-8845 | Mrs Nicole Harris Grimes, APRN, FNP-C 912 E 5th St, Odessa, TX 79761-4605 Ph: (432) 334-0613 |
Sandra Nieto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 | |
Tiffany L Vaught, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 E 4th St Ste 203, Odessa, TX 79761 Phone: 432-617-8329 | |
Florenda De Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 N Tom Green, Odessa, TX 79761 Phone: 432-580-9876 Fax: 432-580-9877 | |
Mrs. Sarah Joy Bender, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-550-1000 | |
Mrs. Cryselda Ann Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 608 N Muskingum Ave, Odessa, TX 79761 Phone: 432-580-9168 Fax: 432-580-8221 | |
Abidemi Yemisi Adeniran, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4778 | |
Morris Al Smith, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Shiloh Rd, Odessa, TX 79762 Phone: 432-552-7913 |