Individual
DIANA MARIE GRUSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2855 VALMONT RD, BOULDER, CO 80301-1309
(303) 442-5160
(303) 440-8769
Mailing address
2886 LA GRANGE CIR, BOULDER, CO 80305-6339
(720) 252-2149
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
0060277
CO
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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