Individual
KIMBERLY ANN GRZYBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1020 W LACKAWANNA AVE, SCRANTON, PA 18504-2052
(570) 904-6000
(570) 871-4638
Mailing address
145 PEACEFUL VALLEY RD, SCOTT TWP, PA 18411-9761
(570) 351-3424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP019532
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019532
PA
363LP2300X
Primary Care Nurse Practitioner
SP019532
PA
Other
Enumeration date
11/13/2018
Last updated
10/09/2024
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