Individual
ANA GRYNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005401
KY
363LF0000X
Family Nurse Practitioner
5401P
KY
363LF0000X
Family Nurse Practitioner
60951
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000534400
BCBS
KY
01
—
000000662212
ANTHEM - NIS
KY
01
—
000052153K
HUMANA - NIS
KY
01
—
114969
SIHO - NIS
KY
05
—
201048040
—
IN
05
—
2519788
—
OH
05
—
3810001426
—
WV
01
—
50035741
PASSPORT - NIS
KY
01
—
5267182
CIGNA - NIS
KY
05
—
78012929
—
KY
01
—
P00471692
RAIL ROAD MEDICARE
—
Enumeration date
04/18/2006
Last updated
02/21/2012
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