Individual
JOHNNA GRABUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN330636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001825840
—
PA
Enumeration date
11/29/2005
Last updated
05/13/2020
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