Individual
TINA GRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1640 CAMPUS PARK DR STE C, MONROE, NC 28112-5284
(704) 260-3662
(704) 226-9535
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009322
NC
Other
Enumeration date
02/23/2017
Last updated
04/14/2025
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