Individual
MRS. GAYLE MARIE GRUBICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
(509) 826-3617
Mailing address
PO BOX 3188, OMAK, WA 98841-3188
(509) 826-1600
(509) 826-3617
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30007990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238881
L&I
WA
05
—
9656745
—
WA
Enumeration date
11/30/2005
Last updated
11/27/2012
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