Individual
ASHLYN ANNE GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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
Update your record
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