Individual
DENISE M GRUZENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
Mailing address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9176780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67043
—
RI
Enumeration date
05/11/2006
Last updated
04/19/2012
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