Provider Demographics
NPI:1477386688
Name:GRINSTEAD, EMILY ANN (WHNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:GRINSTEAD
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:GEDDES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WHNP
Mailing Address - Street 1:4082 CLEAR CREEK DR APT 400
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2079
Mailing Address - Country:US
Mailing Address - Phone:713-449-7744
Mailing Address - Fax:
Practice Address - Street 1:12207 PECOS ST STE 500
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3888
Practice Address - Country:US
Practice Address - Phone:303-797-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0102730-C-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health