Provider Demographics
NPI:1548850258
Name:GRIMES, CAPRIA D
Entity type:Individual
Prefix:
First Name:CAPRIA
Middle Name:D
Last Name:GRIMES
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 1:908 WILLIAM EDMONDSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2877
Mailing Address - Country:US
Mailing Address - Phone:615-852-9085
Mailing Address - Fax:615-827-0404
Practice Address - Street 1:908 WILLIAM EDMONDSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2877
Practice Address - Country:US
Practice Address - Phone:615-852-9085
Practice Address - Fax:615-827-0404
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy