NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SERENA D WOODS GRIMM, MD
201 N CENTRAL AVE
PHOENIX, AZ85004-8001
 Phone: 602-221-6326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SERENA D WOODS GRIMM · (Female)

NPI Number 1003009705
Status Active
Credentials MD
Entity Individual
Enumeration date 08/26/2007
Last updated 03/17/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 37116
  • AZ Medicaid 325855
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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