Individual
CARRIE L GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1921 WALDEMERE ST, 307, SARASOTA, FL 34239-2943
(941) 917-8561
(941) 917-8566
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP2081032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305482900
—
FL
01
—
Y01EU
BCBS
FL
Enumeration date
10/28/2005
Last updated
02/19/2018
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