Most Relevant Information
Provider Data
| NPI Number: | 1003259961 |
| Provider Name: | BAEDA HODGES GRIMSLEY APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3007960 |
Most Important Dates
| Enumeration Date: | 04/10/2013 |
| Last Updated: | 12/03/2018 |
Provider Practice Location
3532 EPHRAIM MCDOWELL DR
LOUISVILLE
KY
402053224
Practice Location Phone/Fax
| Phone: | 5024566200 |
| Fax: | 5024566655 |
Provider Mailing Location
3532 EPHRAIM MCDOWELL DR
LOUISVILLE
KY
402053224
Provider Mailing Phone/Fax
| Phone: | 5024566200 |
| Fax: | 5024566655 |