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Individual

ASHLYN ANNE GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(808) 597-8799
Mailing address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(808) 597-8799

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10660
NC
363A00000X
Physician Assistant
Primary
AMD-1446
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053912345
NC
Enumeration date
11/04/2020
Last updated
03/05/2026
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