Individual
ANDREW BENNETT GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5350 E THOMPSON RD, INDIANAPOLIS, IN 46237-2059
(317) 412-3792
Mailing address
5350 E THOMPSON RD, INDIANAPOLIS, IN 46237-2059
(317) 412-3792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010472A
IN
Other
Enumeration date
09/15/2020
Last updated
05/22/2023
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