Individual
GRANT GEBHARDT
Active
Individual
GRANT GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R108631
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
230182
AR
Other
Enumeration date
05/25/2020
Last updated
08/24/2024
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