Individual
JANET MICHELLE GRADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1075 S IDAHO RD, SUITE 206, APACHE JUNCTION, AZ 85219-6496
(480) 889-1234
Mailing address
2502 N CABOT, MESA, AZ 85207-1516
(480) 889-1234
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APO241
AZ
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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