Individual
MEGAN GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
302 36TH ST, BELLINGHAM, WA 98225-6580
(360) 756-9793
(360) 752-9007
Mailing address
PO BOX 2266, BELLINGHAM, WA 98227-2266
(360) 756-9793
(360) 752-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60056969
WA
390200000X
Student in an Organized Health Care Education/Training Program
200340162RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243797
LABOR & INDUSTRIES
—
05
—
9659780
—
WA
Enumeration date
05/20/2008
Last updated
10/19/2009
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