Individual
MS. LAURA MICHELLE GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
Mailing address
23400 US HIGHWAY 160, WALSENBURG, CO 81089-8100
(719) 738-4590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP61615801
WA
363LF0000X
Family Nurse Practitioner
Primary
APN.0997554-NP
CO
Other
Enumeration date
07/29/2022
Last updated
12/27/2024
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