| Gretchen Elizabeth Grimaldos, CRNA | |
| 1650 Cowles St, Fairbanks, AK 99701-5907 | |
| (907) 459-3500 | |
| Not Available | 
| Full Name | Gretchen Elizabeth Grimaldos | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1650 Cowles St, Fairbanks, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962740605 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 157081 (Alaska) | Primary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 799878 (Texas) | Secondary | 
| Entity Name | Cook Childrens Physician Network | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gretchen Elizabeth Grimaldos, CRNA Po Box 73720, Fairbanks, AK 99707-3720 Ph: (682) 885-1855 | Gretchen Elizabeth Grimaldos, CRNA 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 459-3500 | 
| Shane Richard Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-452-8181 | |
| Margaret Claire Quirion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3000 | |
| Mr. Danny Joe Roth, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-388-6852 | |
| Priscilla Stoddard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618 | |
| Brittany Marie Hosler Belknap, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
| Ms. Kathryn Marlene Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 202, Fairbanks, AK 99701 Phone: 907-452-4101 | |
| Michaela Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618 |