Individual
DR. GLENDA KATHERINE GRONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., FNP-C, APRN
Contact information
Practice address
2669 SPRUCE CREEK BLVD, PORT ORANGE, FL 32128-6893
(386) 852-2461
Mailing address
2669 SPRUCE CREEK BLVD, PORT ORANGE, FL 32128-6893
(386) 852-2461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11000800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11000800
APRN
FL
Enumeration date
01/14/2019
Last updated
09/18/2021
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