| Doctor Name: | HEIDI LEE GRIMES |
| NPI Number: | 1003225525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A125704 |
| Business Practice Address: | 157 Spaulding Avenue Brownsville, OR - 973270160 |
| Business Phone Number: | 5414516940 |
| Business Fax Number: | 5414516947 |
| Mailing Address: | Po Box 160, 157 Spaulding Avenue BROWNSVILLE |
| State: | OR |
| Postal Code: | 973270160 |
| Phone Number: | 5414516940 |
| Fax Number: | 5414516947 |
| NPI Enumeration Date: | 08/08/2014 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A125704 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |