Grivas, Gerome Alonzo

Grivas, Gerome Alonzo is an individual health care provider with primary practice located at 3175 Lenox Park Blvd Ste 412 , Memphis TN 38115-4256. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Grivas, Gerome Alonzo can be contacted via phone (901) 273-2369.

Contact Information

Primary practice address
3175 Lenox Park Blvd Ste 412 Memphis TN 38115-4256
Phone: (901) 273-2369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 17743 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12129 Tennessee

Profile Details

NPI number 1497883607
LBN Legal business name Grivas, Gerome Alonzo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 30th, 2021 - about 5 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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