National Provider Identifier
Diego Grisales NP In Family Health PLLC
Diego Grisales NP In Family Health PLLC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 755-1705.
Profile Overview
- NPI
- 1447014279
- Provider Type
- Organization
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 12, 2024
- Last Updated
- March 08, 2024
Practice Location
- 2364 Lyell Ave
- Rochester, NY 14606-5738
Phone: (585) 755-1705
Mailing Address
- 2364 Lyell Avenue
- Rochetser, NY 14606
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1447014279
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Diego Grisales NP In Family Health PLLC
- Mailing Street Address
- 2364 Lyell Avenue
- Mailing City
- Rochetser
- Mailing State
- NY
- Mailing ZIP Code
- 14606
- Mailing Country
- US
- Mailing Phone
- (585) 755-1705
- Practice Street Address
- 2364 Lyell Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-5738
- Practice Country
- US
- Practice Phone
- (585) 755-1705
- Enumeration Date
- February 12, 2024
- Last Updated
- March 08, 2024
- Authorized Official Last Name
- Grisales
- Authorized Official First Name
- Diego
- Authorized Official Middle Name
- Alejandro
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 755-1705
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- NURSE PRACTITIONER
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- March 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)