Individual
CATHRYN GRIEPENTROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7227 E BASELINE RD STE 129, MESA, AZ 85209-5006
(435) 514-5646
Mailing address
PO BOX 4682, LOGAN, UT 84323-4682
(435) 514-5646
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
246235
AZ
Other
Enumeration date
03/20/2021
Last updated
06/06/2024
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