Individual
DR. NICOLE GRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
1645 14TH AVE SE, RIO RANCHO, NM 87124-4138
(720) 217-1647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8284
NE
207R00000X
Internal Medicine Physician
Primary
MD2021-0270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2021-0270
STATE LICENSE
NM
Enumeration date
06/18/2018
Last updated
08/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us