Provider Demographics
NPI:1144598665
Name:GRIMES, YVETTE BETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:BETH
Last Name:GRIMES
Suffix:
Gender:F
Credentials:RN
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 SPRING STREET
Mailing Address - Street 2:SCHUYLERVILLE CENTRAL SCHOOL HEALTH OFFICE
Mailing Address - City:SCHUYLERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12871
Mailing Address - Country:US
Mailing Address - Phone:518-695-3255
Mailing Address - Fax:518-695-8268
Practice Address - Street 1:14 SPRING ST
Practice Address - Street 2:SCHUYLERVILLE CENTRAL SCHOOL HEALTH OFFICE
Practice Address - City:SCHUYLERVILLE
Practice Address - State:NY
Practice Address - Zip Code:12871-1019
Practice Address - Country:US
Practice Address - Phone:518-695-3255
Practice Address - Fax:518-695-8268
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY391086-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse