Individual
TEARA GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10881 YANKEE ST, DAYTON, OH 45458-3574
(513) 204-1910
Mailing address
3615 SOCIALVILLE FOSTER RD STE C, MASON, OH 45040-9054
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN.371676
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0035921
OH
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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