Individual
ILYNN GRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-4111
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
307653
AZ
Other
Enumeration date
06/17/2024
Last updated
08/30/2024
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