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Contact Information

LORETTA C GRIMM, FNP
3073 WHITE MOUNTAIN HWY
DIABETES CENTER AT MEMORIAL HOSPITAL
NORTH CONWAY, NH03860-7101
 Phone: 603-356-0796
 Fax: 603-356-3257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for LORETTA C GRIMM · (Female)

NPI # 1558321844
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/23/2006
Last updated 05/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # RN275756
  • NH License # 053177-23
  • MA Medicaid 110083358A
  • NH Medicaid 30342936
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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