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Individual

KATHERINE WARGO GRUSKAY

Active
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Individual

KATHERINE WARGO GRUSKAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.129329
CT
163W00000X
Registered Nurse
71152
NY
363LP0200X
Pediatric Nurse Practitioner
382784
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
9928
CT

Other

Enumeration date
06/08/2017
Last updated
11/22/2022
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