NPI 1053615013

Miranda D Grider, NP

Practitioner Nurse Practitioner Decherd, TN

Practice location

Address: 116 Bible Xing, Decherd, TN 37324-3886
Phone: (319) 681-2369
Fax: (931) 968-1241

Registered specialties (3)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 28561 (TN)

Other Nurse Practitioner providers in Tennessee →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence APN.0990080-NP (CO)

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 178965 (CO)

Registry record

NPI: 1053615013
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2011
Record last updated: 17 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.