Individual
KIMBERLY ANN GRUSCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
6721 SW 28TH CT, MIRAMAR, FL 33023-4880
(954) 907-0477
Mailing address
6721 SW 28TH CT, MIRAMAR, FL 33023-4880
(954) 907-0477
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11028149
FL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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