Individual
KATE CHAVONNE GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5 INDUSTRIAL DR STE 100, MASHPEE, MA 02649-3473
(508) 477-4282
Mailing address
5 INDUSTRIAL DR STE 100, MASHPEE, MA 02649-3473
(508) 477-4282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2322005
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2322005
MA
Other
Enumeration date
01/31/2023
Last updated
06/19/2023
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