Provider Demographics
NPI:1376186668
Name:GRIMES, ALECIA (DNP, APRN, ACNPC-AG)
Entity type:Individual
Prefix:
First Name:ALECIA
Middle Name:
Last Name:GRIMES
Suffix:
Gender:F
Credentials:DNP, APRN, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9890 S MARYLAND PKWY STE 275
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7169
Mailing Address - Country:US
Mailing Address - Phone:702-625-6455
Mailing Address - Fax:702-648-8932
Practice Address - Street 1:9890 S MARYLAND PKWY STE 275
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7169
Practice Address - Country:US
Practice Address - Phone:702-625-6455
Practice Address - Fax:702-648-8932
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-20
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV845055363LP2300X, 363LA2200X, 163WR0006X, 163WW0000X, 363LA2100X, 163WM0705X
UT729875-3102163WM0705X
UT7298715-3102163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical