Provider Demographics
NPI:1891312666
Name:GRIMSLEY, CHRISTEN RENE (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:RENE
Last Name:GRIMSLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:RENE
Other - Last Name:STIVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2231 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3907
Mailing Address - Country:US
Mailing Address - Phone:402-291-1203
Mailing Address - Fax:
Practice Address - Street 1:2231 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3907
Practice Address - Country:US
Practice Address - Phone:402-291-1203
Practice Address - Fax:402-291-3915
Is Sole Proprietor?:No
Enumeration Date:2020-06-28
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA143789163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse