Individual
KELLY P GRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-FNP
Contact information
Practice address
10025 NE 186TH ST, BOTHELL, WA 98011-3839
(425) 486-9131
(425) 486-9490
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61085959
WA
Other
Enumeration date
07/14/2020
Last updated
07/23/2026
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