NPI 1073792586

Heather Faye Grimmett, PA

Practitioner Physician Assistant Blackfoot, ID

Practice location

Address: 1441 Parkway Dr, Blackfoot, ID 83221-1667
Phone: (208) 785-2600

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-702 (ID)

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Registry record

NPI: 1073792586
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2007
Record last updated: 31 Oct 2007

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.