Individual
MS. PAMELA ANN GRUENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 738-1931
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0322366-21
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2271769
—
OH
01
—
NP322366-21
NPCERTIFICATIONNUMBER
OH
01
—
RN143102
RNLICENSENUMBER
OH
Enumeration date
08/16/2006
Last updated
06/14/2016
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