Grinnell, Lillah

Grinnell, Lillah is an individual health care provider with primary practice located at 214 E 23Rd St , Cheyenne WY 82001-3748. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grinnell, Lillah can be contacted via phone (307) 634-2273.

Contact Information

Primary practice address
214 E 23Rd St Cheyenne WY 82001-3748
Phone: (307) 634-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 990372 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44363 Wyoming

Profile Details

NPI number 1629336979
LBN Legal business name Grinnell, Lillah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Nov 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629336979 NPPES
Colorado Other NP-990372 COLORADO LICENSE NUMBER

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