Provider Demographics
NPI:1588022677
Name:GRIER, NATHINA DEVON
Entity Type:Individual
Prefix:
First Name:NATHINA
Middle Name:DEVON
Last Name:GRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-5143
Mailing Address - Country:US
Mailing Address - Phone:850-276-6217
Mailing Address - Fax:
Practice Address - Street 1:3960 ARBOR TRACE DR UNIT B
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-6723
Practice Address - Country:US
Practice Address - Phone:850-276-6217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other