Provider Demographics
NPI:1871828319
Name:GRIER, PALMTAMA LITTLE (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:PALMTAMA
Middle Name:LITTLE
Last Name:GRIER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3111 TELEGRAPH CORNER LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2359
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:703-317-3231
Practice Address - Street 1:3111 TELEGRAPH CORNER LN
Practice Address - Street 2:SUITE 100
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2359
Practice Address - Country:US
Practice Address - Phone:703-317-3200
Practice Address - Fax:703-317-3231
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR188775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024168520OtherNURSE PRACTITIONER LICENSE