Individual
ELIZABETH GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
759 CJC HWY # 226, COHASSET, MA 02025-2115
(781) 307-0505
Mailing address
759 CJC HWY # 226, COHASSET, MA 02025-2115
(781) 307-0505
(781) 383-2317
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN198037
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN198037
MA
Other
Enumeration date
04/22/2015
Last updated
12/09/2024
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