# DR. MICHELE L GRUNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093902215
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26RN10599500 | NJ | — |
| 363L00000X | Nurse Practitioner | 26NJ00143600 | NJ | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00143600 | NJ | — |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 07/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0158542 | — | NJ |
| 01 | — | 121045 | MEDICARE PTAN | — |