Individual
KATHLEEN PATRICIA GRUND-EPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2377 S 22ND DR, YUMA, AZ 85364-8865
(928) 343-0488
(928) 782-0401
Mailing address
2377 S 22ND DR, YUMA, AZ 85364-8865
(928) 343-0488
(928) 782-0401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN056646
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341628
—
AZ
Enumeration date
06/26/2006
Last updated
11/09/2012
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