Rose Y Grunert FNP

NPI 1649378001 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1649378001
Gender Female
Enumeration Date 09/20/2006
Last Updated 01/31/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
201 BAILEY LN
BENTON IL, 62812-1969, US
Phone (618) 439-3161
Fax (618) 439-7126
Business Location
201 BAILEY LN
BENTON IL, 62812-1969, US
Phone (618) 439-3161
Fax (618) 439-7126
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209005496
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According to our database, Rose Y Grunert FNP NPI is 1649378001, taxonomy code is 363LF0000X and license number is 209005496, license state is located at Illinois. Rose Y Grunert FNP physically located at 201 Bailey Ln, Benton IL, 62812-1969. NPI Number Rose Y Grunert FNP has the Individual type.

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1649378001 NPI number is provided on an as is basis without warranty of any kind. 1649378001 is maintained by the National Plan & Provider Enumeration System. The contents of Rose Y Grunert FNP are for informational purposes only.