| Doctor Name: | MS. KASEY LIN GRIEGO |
| NPI Number: | 1023289717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | CS00216645 |
| Business Practice Address: | 1721 Rio Rancho Blvd Nw Rio Rancho, NM - 87124 |
| Business Phone Number: | 5058968600 |
| Business Fax Number: | 5058968687 |
| Mailing Address: | 1721 Rio Rancho Blvd Nw, RIO RANCHO |
| State: | NM |
| Postal Code: | 87124 |
| Phone Number: | 5058968600 |
| Fax Number: | 5058968687 |
| NPI Enumeration Date: | 03/20/2008 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | CS00216645 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |