Individual
DR. MICHELE L GRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 694-5810
(201) 854-5796
Mailing address
100 ETON ROW APT 401, WEEHAWKEN, NJ 07086-5401
(201) 694-5810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26RN10599500
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00143600
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00143600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158542
—
NJ
01
—
121045
MEDICARE PTAN
—
Enumeration date
10/02/2007
Last updated
07/14/2025
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