Individual
ELIZABETH ANNE GRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5000
Mailing address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011054
PA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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