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Individual
NINA ELISE GRUDE
Active
Individual
NINA ELISE GRUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.396801
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.009082
IL
363LA2100X
Acute Care Nurse Practitioner
2262499
MA
Other
Enumeration date
07/21/2010
Last updated
12/07/2011
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