Individual
KATIE ANN GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-7000
(859) 212-7010
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-7000
(859) 212-7010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013046
KY
363L00000X
Nurse Practitioner
71010088A
IN
363LA2200X
Adult Health Nurse Practitioner
2016025419
OH
Other
Enumeration date
03/13/2017
Last updated
08/30/2022
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